Organization Active NPI

Annaom Inc

  • Community/Retail Pharmacy
  • Warren, MI
National Provider Identifier
1255869293
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ANNAOM INC
Practice address
11460 E 12 Mile Rd
Warren, MI 48093-2631
Phone
(586) 722-2842
Fax
(586) 279-1215
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Hiteshkumar Ramanlal Patel, RPHNPI 1861047888
Title
Pic
Phone
(248) 979-4324

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 Primary

Addresses

Primary practice location

11460 E 12 Mile Rd
Warren, MI 48093-2631

Mailing address

1034 Doral Dr
Troy, MI 48085-6130
Phone (248) 979-4324

Other names 1

  • WARREN CARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181120002788 MI Part B Supplier - Mass Immunization (Roster Biller Only) 4587918990 Practice locations: Warren, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2193424Warren Care Pharmacy11460 E 12 Mile Road, Warren, MI 48093Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory

Locations

11460 E 12 Mile Rd
Warren, MI 48093
Phone (586) 582-9670

Practitioners & affiliated clinicians

Practitioners 2

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": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255869293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 DORAL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856130",
            "telephone_number": "248-979-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932631",
            "telephone_number": "586-722-2842",
            "fax_number": "586-279-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAOM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HITESHKUMAR",
        "authorized_official_middle_name": "RAMANLAL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "248-979-4324",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARREN CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WARREN CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.