NPIMap

Organization Active NPI

Wayne County Jail Pharmacy

  • Prison Health Clinic/Center
  • Detroit, MI
National Provider Identifier
1265687883
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
License
5301003163 Issued in MI
Legal business name
WAYNE COUNTY JAIL PHARMACY
Practice address
570 Clinton St
Jail Medical
Detroit, MI 48226-2334
Phone
(313) 224-7912
Fax
(313) 224-0768
NPI assigned
Nov 24, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Mr. John Charles Gawryk, RPH
Title
Pharmacy Director
Phone
(313) 224-7912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X 5301003163 MI Primary

Addresses

Primary practice location

570 Clinton St
Jail Medical
Detroit, MI 48226-2334

Mailing address

570 Clinton St
Jail Medical
Detroit, MI 48226-2334
Phone (313) 224-7912

National Provider Directory

National Provider Directory
Tax ID family
Det Metro Wayne Cty Air11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1265687883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 CLINTON ST",
            "address_2": "JAIL MEDICAL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262334",
            "telephone_number": "313-224-7912",
            "fax_number": "313-224-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 CLINTON ST",
            "address_2": "JAIL MEDICAL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262334",
            "telephone_number": "313-224-7912",
            "fax_number": "313-224-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COUNTY JAIL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "GAWRYK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "313-224-7912",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "MI",
            "license": "5301003163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.