Active NPI
Sheba Pharmacy 3 LLC
- Community/Retail Pharmacy
- Wyandotte, MI
National Provider Identifier
1396390381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SHEBA PHARMACY 3 LLC
- Practice address
- 2201 Ford Ave
Wyandotte, MI 48192-2314 - Phone
- (313) 258-6660
- Fax
- (313) 841-8846
- NPI assigned
- Aug 6, 2019
- Last updated
- Aug 6, 2019
- 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
- Abdulla M Shariff
- Title
- Owner
- Phone
- (313) 258-6660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2201 Ford Ave
Wyandotte, MI 48192-2314
Mailing address
2201 Ford Ave
Wyandotte, MI 48192-2314
Phone (313) 258-6660
National Provider Directory
National Provider DirectoryLocations
2201 Ford Ave
Wyandotte, MI 48192
Phone (734) 258-8835
Practitioners & affiliated clinicians
Practitioners 1
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
- Dearborn, MI
- NPI 1770448128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565049600000",
"number": "1396390381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 FORD AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481922314",
"telephone_number": "313-258-6660",
"fax_number": "313-841-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 FORD AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481922314",
"telephone_number": "313-258-6660",
"fax_number": "313-841-8846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEBA PHARMACY 3 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A",
"authorized_official_last_name": "SHARIFF",
"authorized_official_first_name": "ABDULLA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-258-6660"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.