Organization Active NPI

Clawson Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Clawson, MI
National Provider Identifier
1386065126
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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)CodeLicenseStatePrimary
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 MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 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.

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.

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.

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.

Verify at the official NPI Registry.