Amigo LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009913 Issued in MI

Legal business name

AMIGO LLC

Doing business as

JEFFERSON PHARMACY

Practice address

8656 Wyoming St.
Detroit, MI 48204-5216

Phone

(313) 331-1200

Fax

(313) 331-1201

NPI assigned

Oct 8, 2012

Organization subpart

No

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

Authorized official

Name

Ahmed Sharaf, PHARM. D.NPI 1063219228

Title

Pharmacist in Charge/President

Phone

(313) 331-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JEFFERSON PHARMACY Doing business as

Locations

Practitioners 1

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

• Ahmed Sharaf, PHARM.D.

  • Pharmacist
  • Detroit, MI
  • NPI 1063219228
  NPD Authorized official

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1346592920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8656 WYOMING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48204",
            "telephone_number": "313-331-1200",
            "fax_number": "313-331-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8656 WYOMING ST.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482045216",
            "telephone_number": "313-331-1200",
            "fax_number": "313-331-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "SHARAF",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/PRESIDENT",
        "authorized_official_telephone_number": "313-331-1200",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFERSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JEFFERSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amex Rehabilitation Inc
• Britney Amin, MD
• Rami Amin
• Shayma A Amin
• Vilkesh H Amin
• Magalie Amine, PHARMD.

• 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 Aug 12, 2021; 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.