Active NPI
Blue Pharmacy LLC
Doing business as Blue Pharmacy
- Community/Retail Pharmacy
- Detroit, MI
National Provider Identifier
1255637310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BLUE PHARMACY LLC
- Doing business as
- Blue Pharmacy
- Practice address
- 6240 Michigan Ave
Detroit, MI 48210-2953 - Phone
- (313) 899-4120
- Fax
- (313) 899-4124
- NPI assigned
- Feb 7, 2011
- Last updated
- May 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manish Patel
- Title
- Owner
- Phone
- (813) 304-2221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
6240 Michigan Ave
Detroit, MI 48210-2953
Mailing address
6240 Michigan Ave
Detriot, MI 48210
Phone (813) 304-2221
Other names 1
- Blue Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Blue Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Taos, NM
- NPI 1124336854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685404800000",
"number": "1255637310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 MICHIGAN AVE",
"city": "DETRIOT",
"state": "MI",
"postal_code": "48210",
"telephone_number": "813-304-2221",
"fax_number": "888-239-8423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 MICHIGAN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482102953",
"telephone_number": "313-899-4120",
"fax_number": "313-899-4124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-07",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MANISH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-304-2221"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Blue Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.