Owolabi LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OWOLABI LLC

Doing business as

CHAMPAIGN RX

Practice address

14726 Champaign Rd
Allen Park, MI 48101-1617

Phone

(313) 382-0000

Fax

(313) 382-0002

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Ali Hojeij, RPH

Title

Owner

Phone

(313) 382-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHAMPAIGN RX Doing business as

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1306481015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 CHAMPAIGN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011617",
            "telephone_number": "313-382-0000",
            "fax_number": "313-382-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14726 CHAMPAIGN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011617",
            "telephone_number": "313-382-0000",
            "fax_number": "313-382-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWOLABI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "HOJEIJ",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-382-0000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2387531",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAMPAIGN RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHAMPAIGN RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Allen Park, MI
• Providers in Allen Park, 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 Mar 24, 2022; 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.