NPIMap

Organization Active NPI

Monroe Street Pharmacy, Inc.

Doing business as Monroe Pharmacy

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1427076611
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006022 Issued in MI
Legal business name
MONROE STREET PHARMACY, INC.
Doing business as
Monroe Pharmacy
Practice address
2507 Monroe St
Dearborn, MI 48124-3013
Phone
(313) 274-9141
Fax
(313) 274-9182
NPI assigned
Jul 17, 2006
Last updated
Feb 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Mr. Allie Hamood, RPH.NPI 1487821310
Title
Chief Pharmacist
Phone
(313) 274-9141

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 183500000X MI
Community/Retail Pharmacy 3336C0003X 5301006022 MI Primary

Addresses

Primary practice location

2507 Monroe St
Dearborn, MI 48124-3013

Mailing address

2507 Monroe St
Dearborn, MI 48124-3013
Phone (313) 274-9141

Other identifiers 3

IdentifierTypeStateIssuer
540H212390OtherMIBCBSM DME
873459809MedicaidMI
2352691OtherMINABP

Other names 1

  • Monroe Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2507 Monroe St
Dearborn, MI 48124
Phone (313) 274-9141

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1427076611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243013",
            "telephone_number": "313-274-9141",
            "fax_number": "313-274-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243013",
            "telephone_number": "313-274-9141",
            "fax_number": "313-274-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE STREET PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "HAMOOD",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "313-274-9141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "183500000X",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM DME",
            "identifier": "540H212390",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873459809",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2352691",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.