Active NPI
Annaom Inc
- Community/Retail Pharmacy
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hiteshkumar Ramanlal Patel, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181120002788 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 4587918990 | Practice locations: Warren, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2193424 | Warren Care Pharmacy | Certificate of waiver | Sep 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Warren, MI
- NPI 1861047888
-
- Pharmacist
- Warren, MI
- NPI 1982475240
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.