Active NPI
Clawson Care Pharmacy LLC
- Community/Retail Pharmacy
- Clawson, MI
National Provider Identifier
1386065126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CLAWSON CARE PHARMACY LLC
- Practice address
- 117 W 14 Mile Rd
Clawson, MI 48017-1965 - Phone
- (248) 439-2400
- Fax
- (248) 439-2404
- NPI assigned
- Dec 20, 2013
- Last updated
- Feb 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saed Soued
- Title
- Owner
- Phone
- (313) 779-4131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
117 W 14 Mile Rd
Clawson, MI 48017-1965
Mailing address
117 W 14 Mile Rd
Clawson, MI 48017-1965
Phone (248) 439-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200326003509 | MI | DME Supplier - Pharmacy | 3577992536 | Practice locations: Clawson, MI |
| O20200330000880 | MI | Part B Supplier - Pharmacy | 3577992536 | Practice locations: Clawson, MI |
National Provider Directory
National Provider Directory- Tax ID family
- Clawson Care Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Clawson, MI
- NPI 1184585804
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Clawson, MI
- NPI 1184585804
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Clawson, MI
- NPI 1962126136
-
- Pharmacist
- Clawson, MI
- NPI 1730715343
-
- Pharmacist
- Clawson, MI
- NPI 1619438132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1386065126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W 14 MILE RD",
"city": "CLAWSON",
"state": "MI",
"postal_code": "480171965",
"telephone_number": "248-439-2400",
"fax_number": "248-439-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W 14 MILE RD",
"city": "CLAWSON",
"state": "MI",
"postal_code": "480171965",
"telephone_number": "248-439-2400",
"fax_number": "248-439-2404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAWSON CARE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-20",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "SOUED",
"authorized_official_first_name": "SAED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-779-4131"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clawson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.