NPIMap

Organization Active NPI

Walgreens Pharmacy

  • Community/Retail Pharmacy
  • Riverview, MI
National Provider Identifier
1417238452
Registry record updated Sep 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000034535 Issued in TN
Legal business name
WALGREENS PHARMACY
Practice address
17071 Fort St
Riverview, MI 48193-6656
Phone
(734) 281-2927
Fax
(734) 281-4979
NPI assigned
Sep 5, 2011
Last updated
Sep 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2011

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

Authorized official

Name
Dr. Mariam Mufeed Hajeir, PHARM DNPI 1992088272
Title
Pharmacist
Phone
(734) 281-2927

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5302039784 MI
Community/Retail Pharmacy 3336C0003X 03230902 OH
Community/Retail Pharmacy 3336C0003X 0000034535 TN Primary

Addresses

Primary practice location

17071 Fort St
Riverview, MI 48193-6656

Mailing address

17071 Fort St
Riverview, MI 48193-6656

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, 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": "1315180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315180800000",
    "number": "1417238452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17071 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481936656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17071 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481936656",
            "telephone_number": "734-281-2927",
            "fax_number": "734-281-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-05",
        "last_updated": "2011-09-05",
        "status": "A",
        "authorized_official_last_name": "HAJEIR",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "MUFEED",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "734-281-2927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5302039784",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "03230902",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000034535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.