NPIMap

Organization Active NPI

Springwells Clinical Pharmacy Inc.

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1427167196
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301007023 Issued in MI
Legal business name
SPRINGWELLS CLINICAL PHARMACY INC.
Doing business as
Springwells Clinical Pharmacy
Practice address
2117 Springwells St
Detroit, MI 48209-1507
Phone
(313) 841-8000
Fax
(313) 841-0505
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Adel Dakhlallah, RPH
Title
Pharmacist
Phone
(313) 841-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 5301007023 MI Primary

Addresses

Primary practice location

2117 Springwells St
Detroit, MI 48209-1507

Mailing address

2117 Springwells St
Detroit, MI 48209-1507
Phone (313) 841-8000

Other identifiers 2

IdentifierTypeStateIssuer
2044486OtherPK
4110403MedicaidMI

Other names 1

  • Springwells Clinical Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Springwells Clinical Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1427167196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 SPRINGWELLS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091507",
            "telephone_number": "313-841-8000",
            "fax_number": "313-841-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 SPRINGWELLS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091507",
            "telephone_number": "313-841-8000",
            "fax_number": "313-841-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWELLS CLINICAL PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "DAKHLALLAH",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-841-8000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2044486",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4110403",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springwells Clinical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 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.