Star Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010605 Issued in MI

Legal business name

STAR PHARMACY

Doing business as

Star pharmacy

Practice address

13325 Livernois Ave
Detroit, MI 48238-3876

Phone

(313) 397-3597

Fax

(313) 397-3837

NPI assigned

Aug 18, 2014

Organization subpart

No

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

Authorized official

Name

Ali Daher

Title

Owner

Phone

(313) 397-3597

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Star pharmacy Doing business as

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1326447137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383876",
            "telephone_number": "313-397-3597",
            "fax_number": "313-397-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383876",
            "telephone_number": "313-397-3597",
            "fax_number": "313-397-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "DAHER",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-397-3597"
    },
    "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": "5301010605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Star Center
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• Star Center, Inc.
• Star Medical Transportation, LLC
• Olivia Anne Starich, MD
• Stark Dental, PC
• Jody Conradi Stark, MT-BC
• Jacquelyn Starks-Johnson, LMSW
• Anthony K. Starks, CADC-M

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 7, 2016; 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.