Organization Active NPI

Benstar Pharmacy PLLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1255679924
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010006 Issued in MI
Legal business name
BENSTAR PHARMACY PLLC
Doing business as
Benstar Pharmacy PLLC
Practice address
2510 E Nevada St
Detroit, MI 48234-1461
Phone
(313) 334-5859
Fax
(313) 733-6115
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Uzoma Nwachukwu
Title
Supt. Pharmacist/Manager
Phone
(313) 995-2747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010006 MI Primary

Addresses

Primary practice location

2510 E Nevada St
Detroit, MI 48234-1461

Mailing address

2510 E Nevada St
Detroit, MI 48234-1461
Phone (313) 334-5859

Other identifiers 1

IdentifierTypeStateIssuer
2377605OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Benstar Pharmacy PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

2510 E Nevada St
Detroit, MI 48234
Phone (313) 334-5859

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1255679924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E NEVADA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341461",
            "telephone_number": "313-334-5859",
            "fax_number": "313-733-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E NEVADA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341461",
            "telephone_number": "313-334-5859",
            "fax_number": "313-733-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSTAR PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "NWACHUKWU",
        "authorized_official_first_name": "UZOMA",
        "authorized_official_title_or_position": "SUPT. PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "313-995-2747"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2377605",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benstar Pharmacy PLLC",
            "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 Jan 30, 2013; 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.