Organization Active NPI

Jana Pharmacy

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1265078554
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JANA PHARMACY
Practice address
14650 W Warren Ave Ste 200
Dearborn, MI 48126-1782
Phone
(313) 633-9185
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Abbas Baydoun
Title
Owner
Phone
(313) 585-0897

Specialties & licenses 2

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

Addresses

Primary practice location

14650 W Warren Ave Ste 200
Dearborn, MI 48126-1782

Mailing address

14650 W Warren Ave Ste 200
Dearborn, MI 48126-1782
Phone (313) 633-9185

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1265078554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261782",
            "telephone_number": "313-633-9185",
            "fax_number": "313-908-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261782",
            "telephone_number": "313-633-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "BAYDOUN",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-585-0897"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.