Detroit Pharma Distributots LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

DETROIT PHARMA DISTRIBUTOTS LLC

Practice address

28000 Southfield Rd Ste 110
Lathrup Village, MI 48076-2864

Phone

(248) 327-6527

Fax

(248) 327-6545

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Punam Kumari

Title

Owner

Phone

(248) 327-6527

Specialties & licenses 1

Addresses

Other names 1

• DETROIT PHARMA DISTRIBUTOTS LLC Doing business as

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1366033110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 SOUTHFIELD RD STE 110",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762864",
            "telephone_number": "248-327-6527",
            "fax_number": "248-327-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28000 SOUTHFIELD RD STE 110",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762864",
            "telephone_number": "248-327-6527",
            "fax_number": "248-327-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT PHARMA DISTRIBUTOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "KUMARI",
        "authorized_official_first_name": "PUNAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-327-6527"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DETROIT PHARMA DISTRIBUTOTS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Lathrup Village, MI
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.