Active NPI
Eastern Pharmacy Inc
- Community/Retail Pharmacy
- Ypsilanti, MI
National Provider Identifier
1285683094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008336
- Legal business name
- EASTERN PHARMACY INC
- Practice address
- 1159 E Michigan Ave
Ypsilanti, MI 48198-5807 - Phone
- (734) 485-9900
- Fax
- (734) 485-9300
- NPI assigned
- May 9, 2006
- 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
- Sami Dabaja, BS PHARMACY
- Title
- RPH/President
- Phone
- (313) 999-5720
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301008336 | MI | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1159 E Michigan Ave
Ypsilanti, MI 48198-5807
Mailing address
1159 E Michigan Ave
Ypsilanti, MI 48198-5807
Phone (734) 485-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2368252 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- SAV-MOR#65 EASTERN PHARMACY
National Provider Directory
National Provider DirectoryLocations
1159 E Michigan Ave
Ypsilanti, MI 48198
Phone (734) 445-0111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592870400000",
"number": "1285683094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1159 E MICHIGAN AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985807",
"telephone_number": "734-485-9900",
"fax_number": "734-485-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1159 E MICHIGAN AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985807",
"telephone_number": "734-485-9900",
"fax_number": "734-485-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A",
"authorized_official_last_name": "DABAJA",
"authorized_official_first_name": "SAMI",
"authorized_official_title_or_position": "RPH/PRESIDENT",
"authorized_official_telephone_number": "313-999-5720",
"authorized_official_credential": "BS PHARMACY"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301008336",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2368252",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAV-MOR#65 EASTERN PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SAV-MOR#65 EASTERN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.