Organization Active NPI

Samar and Ranya Inc

  • Community/Retail Pharmacy
  • Edwardsburg, MI
National Provider Identifier
1356786024
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010092 Issued in MI
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

Updated by the provider on Mar 23, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2140298OtherPK

Other names 1

  • Edwardsburg Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.