Organization Active NPI

Schoolcraft Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1306287297
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010050 Issued in MI
Legal business name
SCHOOLCRAFT PHARMACY LLC
Practice address
14424 Schaefer Hwy Ste 100
Detroit, MI 48227-3668
Phone
(313) 270-3333
Fax
(313) 270-3334
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Mohamed Sohoubah, PHR, SHRM-CP
Title
Owner
Phone
(248) 663-3380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010050 MI Primary

Addresses

Primary practice location

14424 Schaefer Hwy Ste 100
Detroit, MI 48227-3668

Mailing address

14424 Schaefer Hwy
Detroit, MI 48227-3668
Phone (313) 270-3333

Other identifiers 1

IdentifierTypeStateIssuer
2141068OtherPK

Other names 1

  • PharMor Pharmacy- Schoolcraft Doing business as

National Provider Directory

National Provider Directory

Locations

14424 Schaefer Hwy
Ste 100
Detroit, MI 48227
Phone (313) 270-3333

14424 Schaefer Hwy
Detroit, MI 48227
Phone (313) 270-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1306287297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14424 SCHAEFER HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273668",
            "telephone_number": "313-270-3333",
            "fax_number": "313-270-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14424 SCHAEFER HWY STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273668",
            "telephone_number": "313-270-3333",
            "fax_number": "313-270-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOLCRAFT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "SOHOUBAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-663-3380",
        "authorized_official_credential": "PHR, SHRM-CP"
    },
    "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": "5301010050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141068",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMor Pharmacy- Schoolcraft",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 28, 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.