Biomed Pharmacy-Detroit, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009790 Issued in MI

Legal business name

BIOMED PHARMACY-DETROIT, LLC

Doing business as

BioMed Specialty Pharmacy-Detroit

Practice address

113 E Canfield St Ste C
Detroit, MI 48201-1878

Phone

(313) 831-9350

Fax

(313) 831-9356

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Mazen Baisa

Title

Owner

Phone

(855) 246-6338

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BioMed Specialty Pharmacy-Detroit Doing business as

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1255698791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E CANFIELD ST",
            "address_2": "SUITE C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011878",
            "telephone_number": "313-831-9350",
            "fax_number": "313-831-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E CANFIELD ST STE C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011878",
            "telephone_number": "313-831-9350",
            "fax_number": "313-831-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMED PHARMACY-DETROIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "BAISA",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-246-6338"
    },
    "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": "5301009790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2376653",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioMed Specialty Pharmacy-Detroit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bio-Medical Applications of Michigan, Inc.
• Bio-Medical Applications of Michigan, Inc.
• Bio-Medical Applications of Michigan, Inc.
• Bio-Medical Applications of Michigan, Inc.
• Biolight Therapeutics LLC
• Biopharm Consultants
• Christine Birch, M.A., CCC-SLP
• Monica Jones Birch, PHARMD
• Zachary Joseph Birchmeier
• Herbert Bircoll, DPM

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.