Active NPI
Greenfield Health Pharmacy Inc
- Community/Retail Pharmacy
- Dearborn, MI
National Provider Identifier
1265830400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301010615
- Legal business name
- GREENFIELD HEALTH PHARMACY INC
- Practice address
- 15343 W Warren Ave
Dearborn, MI 48126-1357 - Phone
- (313) 846-9090
- Fax
- (313) 846-9092
- NPI assigned
- Dec 19, 2014
- 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
- Fadi Saad
- Title
- Owner
- Phone
- (313) 585-7657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301010615 | MI | Primary |
Addresses
Primary practice location
15343 W Warren Ave
Dearborn, MI 48126-1357
Mailing address
15343 W Warren Ave
Dearborn, MI 48126-1357
Phone (313) 846-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2149360 | Other | PK |
Other names 1
- Greenfield Health Pharmacy Inc
National Provider Directory
National Provider DirectoryLocations
15343 W Warren Ave
Dearborn, MI 48126
Phone (313) 584-0600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425859200000",
"number": "1265830400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15343 W WARREN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261357",
"telephone_number": "313-846-9090",
"fax_number": "313-846-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15343 W WARREN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261357",
"telephone_number": "313-846-9090",
"fax_number": "313-846-9092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENFIELD HEALTH PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-19",
"last_updated": "2015-03-09",
"status": "A",
"authorized_official_last_name": "SAAD",
"authorized_official_first_name": "FADI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-585-7657"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301010615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2149360",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Greenfield Health Pharmacy Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.