Organization Active NPI

Jcma Pharmacy Inc

Doing business as Cobb Clinic Pharmacy

  • Community/Retail Pharmacy
  • Westland, MI
National Provider Identifier
1366759300
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009410 Issued in MI
Legal business name
JCMA PHARMACY INC
Doing business as
Cobb Clinic Pharmacy
Practice address
8623 N Wayne Rd Ste 101
Westland, MI 48185-1137
Phone
(734) 523-6500
Fax
(734) 523-6504
NPI assigned
Sep 13, 2010
Last updated
Jan 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Hussein Elsaghir
Title
Owner
Phone
(734) 523-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009410 MI Primary

Addresses

Primary practice location

8623 N Wayne Rd Ste 101
Westland, MI 48185-1137

Mailing address

43155 W 9 Mile Rd
Novi, MI 48375-4190
Phone (248) 348-1570

Other identifiers 1

IdentifierTypeStateIssuer
2126764OtherPK

Other names 1

  • Cobb Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

8623 N Wayne Rd
Ste 101
Westland, MI 48185
Phone (734) 523-6500

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1366759300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43155 W 9 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754190",
            "telephone_number": "248-348-1570",
            "fax_number": "248-348-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 N WAYNE RD STE 101",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851137",
            "telephone_number": "734-523-6500",
            "fax_number": "734-523-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCMA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "ELSAGHIR",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-523-6500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobb Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cobb Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.