Organization Active NPI

Sheba Pharmacy 3 LLC

  • Community/Retail Pharmacy
  • Wyandotte, MI
National Provider Identifier
1396390381
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Abdulla M ShariffNPI 1770448128
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.