West Warren Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5315065672 Issued in MI

Legal business name

WEST WARREN PHARMACY

Doing business as

PharMor Pharmacy-West Warren

Practice address

6461 W Warren Ave Ste 100
Detroit, MI 48210-1176

Phone

(313) 894-2866

Fax

(313) 894-2867

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Abdo Shoubah

Title

Owner

Phone

(248) 663-3380

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PharMor Pharmacy-West Warren Doing business as

Locations

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1366853780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23815 NORTHWESTERN HWY",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757738",
            "telephone_number": "248-663-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6461 W WARREN AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482101176",
            "telephone_number": "313-894-2866",
            "fax_number": "313-894-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WARREN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "SHOUBAH",
        "authorized_official_first_name": "ABDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-663-3380"
    },
    "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": "5315065672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145809",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMor Pharmacy-West Warren",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.