NPIMap

Organization Active NPI

Childrens Hospital of Michigan

  • Community/Retail Pharmacy
  • Clinton Township, MI
National Provider Identifier
1417133307
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008761 Issued in MI
Legal business name
CHILDRENS HOSPITAL OF MICHIGAN
Practice address
42700 Garfield Rd
Clinton Township, MI 48038-4201
Phone
(586) 532-2980
Fax
(586) 416-1432
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Michael Young
Title
Executive Dir
Phone
(313) 966-0392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301008761 MI Primary

Addresses

Primary practice location

42700 Garfield Rd
Clinton Township, MI 48038-4201

Mailing address

PO Box 674032
Detroit, MI 48267-4032

Other identifiers 1

IdentifierTypeStateIssuer
2370649OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • DMC PHARMACY STILSON CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hosp of M12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1417133307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674032",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42700 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384201",
            "telephone_number": "586-532-2980",
            "fax_number": "586-416-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOSPITAL OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIR",
        "authorized_official_telephone_number": "313-966-0392"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2370649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMC PHARMACY STILSON CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.