Organization Active NPI

Wayne Pharmacy, LLC

  • Community/Retail Pharmacy
  • Westland, MI
National Provider Identifier
1245759521
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011234 Issued in MI
Legal business name
WAYNE PHARMACY, LLC
Practice address
8275 N. Wayne Rd. Suite B
Westland, MI 48154
Phone
(734) 525-6622
Fax
(734) 525-6681
NPI assigned
Sep 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohamad G. DiraniNPI 1942714696
Title
Managing Member
Phone
(734) 525-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301011234 MI Primary

Addresses

Primary practice location

8275 N. Wayne Rd. Suite B
Westland, MI 48154

Mailing address

8275 N Wayne Rd Ste B
Westland, MI 48185-1143
Phone (734) 525-6622

National Provider Directory

National Provider Directory

Locations

8275 N Wayne Rd
Ste B
Westland, MI 48185
Phone (313) 505-8242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1245759521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 N WAYNE RD STE B",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851143",
            "telephone_number": "734-525-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 N. WAYNE RD. SUITE B",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-525-6622",
            "fax_number": "734-525-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DIRANI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "734-525-6622"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.