Active NPI
Hady Enterprises Inc
- Community/Retail Pharmacy
- Burton, MI
National Provider Identifier
1255874384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301011058
- Legal business name
- HADY ENTERPRISES INC
- Practice address
- 1513 S Center Rd
Burton, MI 48509-1728 - Phone
- (810) 309-3209
- Fax
- (810) 221-7356
- NPI assigned
- Nov 21, 2016
- 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
- Ahmad Kaml Alouh
- Title
- Pharmacist
- Phone
- (810) 728-5048
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301011058 | MI | Primary |
Addresses
Primary practice location
1513 S Center Rd
Burton, MI 48509-1728
Mailing address
1513 S Center Rd
Burton, MI 48509-1728
Phone (810) 309-3209
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255874384 | Medicaid | MI | |
| 2166462 | Other | PK |
Other names 1
- Center Road Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Ballenger Pharmacy Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Flint TWP, MI
- NPI 1972814143
-
- Community/Retail Pharmacy
- Hamtramck, MI
- NPI 1215692793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489708800000",
"number": "1255874384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 S CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485091728",
"telephone_number": "810-309-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 S CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485091728",
"telephone_number": "810-309-3209",
"fax_number": "810-221-7356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HADY ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2017-03-17",
"status": "A",
"authorized_official_last_name": "ALOUH",
"authorized_official_first_name": "AHMAD KAML",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "810-728-5048"
},
"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": "5301011058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255874384",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2166462",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Center Road Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.