NPIMap

Organization Active NPI

Sav-Mart Pharmacy-Gratiot LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1376846980
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009409 Issued in MI
Legal business name
SAV-MART PHARMACY-GRATIOT LLC
Practice address
7011 Gratiot Ave
Detroit, MI 48207-1973
Phone
(313) 923-0007
Fax
(313) 923-0098
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Abdo Shoubah
Title
Owner
Phone
(313) 923-0007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301009409 MI Primary

Addresses

Primary practice location

7011 Gratiot Ave
Detroit, MI 48207-1973

Mailing address

23815 Northwestern Hwy
Suite 200
Southfield, MI 48075-7738
Phone (248) 663-3380

Other identifiers 1

IdentifierTypeStateIssuer
2127796OtherPK

Other names 1

  • Sav-Mart Pharmacy II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sav-Mart Pharmacy Gratiot LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1376846980",
    "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",
            "fax_number": "248-223-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071973",
            "telephone_number": "313-923-0007",
            "fax_number": "313-923-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAV-MART PHARMACY-GRATIOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "SHOUBAH",
        "authorized_official_first_name": "ABDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-923-0007"
    },
    "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": "5301009409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sav-Mart Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.