Organization Active NPI

Care Home RX Corp

  • Long Term Care Pharmacy
  • Wayne, MI
National Provider Identifier
1336539477
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
5301010622 Issued in MI
Legal business name
CARE HOME RX CORP
Practice address
4603 S Wayne Rd
Wayne, MI 48184-2310
Phone
(734) 398-1035
Fax
(734) 398-1769
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Mahesh Pydipati
Title
President
Phone
(734) 398-1035

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301010622 MI
Long Term Care Pharmacy 3336L0003X 5301010622 MI Primary

Addresses

Primary practice location

4603 S Wayne Rd
Wayne, MI 48184-2310

Mailing address

4603 S Wayne Rd
Wayne, MI 48184-2310
Phone (734) 398-1035

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1336539477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 S WAYNE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842310",
            "telephone_number": "734-398-1035",
            "fax_number": "734-398-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 S WAYNE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842310",
            "telephone_number": "734-398-1035",
            "fax_number": "734-398-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE HOME RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "PYDIPATI",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-398-1035"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301010622",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301010622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.