Downriver Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010426 Issued in MI

Legal business name

DOWNRIVER FAMILY PHARMACY LLC

Doing business as

Downriver Family Pharmacy

Practice address

14156 Eureka Rd
Southgate, MI 48195-2055

Phone

(734) 285-0003

Fax

(734) 285-0274

NPI assigned

May 12, 2014

Organization subpart

No

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

Authorized official

Name

Bilal Chaaban

Title

Owner

Phone

(313) 995-1174

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Downriver Family Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1265843320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25205 TROWBRIDGE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242414",
            "telephone_number": "313-995-1174",
            "fax_number": "734-285-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14156 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952055",
            "telephone_number": "734-285-0003",
            "fax_number": "734-285-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "CHAABAN",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-995-1174"
    },
    "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": "5301010426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145768",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downriver Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Southgate, MI
• Providers in Southgate, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.