Organization Active NPI

Midtown RX Pharmacy Inc

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1407223803
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010730 Issued in MI
Legal business name
MIDTOWN RX PHARMACY INC
Practice address
4100 Woodward Ave
Suite Pharmacy
Detroit, MI 48201-2173
Phone
(313) 832-5900
Fax
(313) 832-5901
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Mahmoud SrourNPI 1528579331
Title
President
Phone
(313) 832-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301010730 MI Primary

Addresses

Primary practice location

4100 Woodward Ave
Suite Pharmacy
Detroit, MI 48201-2173

Mailing address

4100 Woodward Ave
Suite Pharmacy
Detroit, MI 48201-2173
Phone (313) 832-5900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1407223803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WOODWARD AVE",
            "address_2": "SUITE PHARMACY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012173",
            "telephone_number": "313-832-5900",
            "fax_number": "313-832-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WOODWARD AVE",
            "address_2": "SUITE PHARMACY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012173",
            "telephone_number": "313-832-5900",
            "fax_number": "313-832-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "SROUR",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-832-5900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.