Active NPI
Samar and Ranya Inc
- Community/Retail Pharmacy
- Edwardsburg, MI
National Provider Identifier
1356786024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301010092
- Legal business name
- SAMAR AND RANYA INC
- Practice address
- 69045 M 62 Ste G
Edwardsburg, MI 49112-9152 - Phone
- (269) 414-4554
- Fax
- (269) 414-4558
- NPI assigned
- May 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ranya Kadi, RPH
- Title
- Owner, Pic, Ao
- Phone
- (269) 414-4554
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301010092 | MI | Primary |
Addresses
Primary practice location
69045 M 62 Ste G
Edwardsburg, MI 49112-9152
Mailing address
69045 M 62 Ste G
Edwardsburg, MI 49112-9152
Phone (269) 414-4554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2140298 | Other | PK |
Other names 1
- Edwardsburg Drugs
National Provider Directory
National Provider DirectoryLocations
69045 M 62
Ste G
Edwardsburg, MI 49112
Phone (269) 414-4554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490227200000",
"number": "1356786024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69045 M 62 STE G",
"city": "EDWARDSBURG",
"state": "MI",
"postal_code": "491129152",
"telephone_number": "269-414-4554",
"fax_number": "269-414-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69045 M 62 STE G",
"city": "EDWARDSBURG",
"state": "MI",
"postal_code": "491129152",
"telephone_number": "269-414-4554",
"fax_number": "269-414-4558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMAR AND RANYA INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-07",
"last_updated": "2017-03-23",
"status": "A",
"authorized_official_last_name": "KADI",
"authorized_official_first_name": "RANYA",
"authorized_official_title_or_position": "OWNER, PIC, AO",
"authorized_official_telephone_number": "269-414-4554",
"authorized_official_credential": "RPH"
},
"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": "5301010092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2140298",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Edwardsburg Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edwardsburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.