Organization Active NPI

Royal Oak Family Pharmacy, LLC

  • Community/Retail Pharmacy
  • Ferndale, MI
National Provider Identifier
1386964203
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009267 Issued in MI
Legal business name
ROYAL OAK FAMILY PHARMACY, LLC
Practice address
23420 Woodward Ave
Ferndale, MI 48220-1344
Phone
(248) 336-2677
NPI assigned
Jun 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Mr. Aiman Rabih Kawas, RPH
Title
President/Pharmacy Manager
Phone
(313) 657-1630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301009267 MI
Community/Retail Pharmacy 3336C0003X 5301009267 MI Primary

Addresses

Primary practice location

23420 Woodward Ave
Ferndale, MI 48220-1344

Mailing address

23420 Woodward Ave
Ferndale, MI 48220-1344
Phone (248) 336-2677

Other identifiers 1

IdentifierTypeStateIssuer
5301009267OtherMIPHARMACY LISCNCE

Other names 1

  • royal oak family pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

23420 Woodward Ave
Ferndale, MI 48220
Phone (248) 336-2677

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1386964203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23420 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201344",
            "telephone_number": "248-336-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23420 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201344",
            "telephone_number": "248-336-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OAK FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "KAWAS",
        "authorized_official_first_name": "AIMAN",
        "authorized_official_middle_name": "RABIH",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACY MANAGER",
        "authorized_official_telephone_number": "313-657-1630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301009267",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LISCNCE",
            "identifier": "5301009267",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "royal oak family pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferndale, MI

Sources for this page

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