Derossi S Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009569 Issued in MI

Legal business name

DEROSSI S PHARMACY LLC

Doing business as

DeRossi's Pharmacy

Practice address

15348 Fort St
Southgate, MI 48195-1304

Phone

(734) 246-8800

Fax

(734) 246-8808

NPI assigned

May 2, 2011

Organization subpart

No

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

Authorized official

Name

Sachin Patel

Title

President

Phone

(734) 246-8800

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DeRossi's Pharmacy Doing business as

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1306137864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15348 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951304",
            "telephone_number": "734-246-8800",
            "fax_number": "734-246-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15348 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951304",
            "telephone_number": "734-246-8800",
            "fax_number": "734-246-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEROSSI S PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-246-8800"
    },
    "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": "5301009569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2375497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeRossi's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rene Demery
• Ke'Anna J Demings
• Sara Katherine Demorest
• Mary Jo Gardner Denman, LLPC
• Zoe K Deol, MD
• Glenn L Derrick, M.A., L.L.P.
• Camryn Desjardins, LLMSW
• Daniel Brett Detloff
• John Devine
• Michaela Elizabeth Dew

• 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 May 20, 2011; 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.