Organization Active NPI

Health MTM Inc

Doing business as Caniff Pharmacy

  • Community/Retail Pharmacy
  • Hamtramck, MI
National Provider Identifier
1396043998
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009526 Issued in MI
Legal business name
HEALTH MTM INC
Doing business as
Caniff Pharmacy
Practice address
3004 Caniff St
Hamtramck, MI 48212-3019
Phone
(313) 285-9063
Fax
(313) 285-9144
NPI assigned
Mar 5, 2011
Last updated
Nov 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Zahida Choudhury
Title
President
Phone
(313) 409-9342

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301009526 MI Primary

Addresses

Primary practice location

3004 Caniff St
Hamtramck, MI 48212-3019

Mailing address

3004 Caniff St
Hamtramck, MI 48212-3019
Phone (313) 285-9063

Other identifiers 1

IdentifierTypeStateIssuer
2129385OtherPK

Other names 1

  • Caniff Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3004 Caniff St
Hamtramck, MI 48212
Phone (313) 285-9063

NPI Registry JSON

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

{
    "created_epoch": "1299283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1396043998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 CANIFF ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123019",
            "telephone_number": "313-285-9063",
            "fax_number": "313-285-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 CANIFF ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123019",
            "telephone_number": "313-285-9063",
            "fax_number": "313-285-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MTM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-05",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "CHOUDHURY",
        "authorized_official_first_name": "ZAHIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-409-9342"
    },
    "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": "5301009526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caniff Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.