Park Shelton Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PARK SHELTON PHARMACY

Practice address

15 E Kirby St Ste 107
Detroit, MI 48202-4038

Phone

(313) 638-1028

Fax

(313) 638-1321

NPI assigned

Jan 27, 2011

Organization subpart

No

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

Authorized official

Name

Pradeep Pandya

Title

Pharmacist

Phone

(313) 638-1028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1356647085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E KIRBY ST STE 107",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024038",
            "telephone_number": "313-638-1028",
            "fax_number": "313-638-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E KIRBY ST STE 107",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024038",
            "telephone_number": "313-638-1028",
            "fax_number": "313-638-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SHELTON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-638-1028"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrew Ji Hoon Park, MD
• Hakmin Park, M.D.
• Hyunkyu Park, DMD
• Jae Hong Park
• Kelley Park

• Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.