Warren Pharmacy & Medical Supplies P C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009039 Issued in MI

Legal business name

WARREN PHARMACY & MEDICAL SUPPLIES P C

Doing business as

Warren Pharmacy & Medical Supplies

Practice address

35450 Dequindre Rd
#102
Sterling Heights, MI 48310-4810

Phone

(248) 541-5800

Fax

(248) 541-5844

NPI assigned

Apr 25, 2008

Last updated

Sep 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farah Khan, RPH

Title

Owner/MGR

Phone

(248) 541-5800

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• WARREN PHARMACY & MEDICAL SUPPLIES Doing business as

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1417122805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35450 DEQUINDRE RD",
            "address_2": "#102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104810",
            "telephone_number": "248-541-5800",
            "fax_number": "248-541-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35450 DEQUINDRE RD",
            "address_2": "#102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104810",
            "telephone_number": "248-541-5800",
            "fax_number": "248-541-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN PHARMACY & MEDICAL SUPPLIES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "248-541-5800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009039",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2371300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARREN PHARMACY & MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angel Latrice Ward Cook
• Tracey Ward III
• Brittany Ward
• Early May Ware
• David A. Waring, D.C.
• Warren Pharmacy & Medical Supplies, P.C.
• Forrest Lewis Washburn, OTR/L
• Kimberly Washburn, DPT
• Candice Washington
• Dymond Washington

• Community/Retail Pharmacy in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.