Organization Active NPI

Bloomfield Pharmacy North PC

  • Community/Retail Pharmacy
  • Pontiac, MI
National Provider Identifier
1427234863
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008772 Issued in MI
Legal business name
BLOOMFIELD PHARMACY NORTH PC
Doing business as
Bloomfield Pharmacy North PC
Practice address
44200 Woodward Ave
Ste 107
Pontiac, MI 48341-5045
Phone
(248) 334-7700
Fax
(248) 334-7715
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Ali Riad ZahrNPI 1821710989
Title
Pharmacist
Phone
(248) 334-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301008772 MI Primary

Addresses

Primary practice location

44200 Woodward Ave
Ste 107
Pontiac, MI 48341-5045

Mailing address

44200 Woodward Ave
Suite 107
Pontiac, MI 48341-5045
Phone (248) 334-7700

Other identifiers 1

IdentifierTypeStateIssuer
2043572OtherPK

Other names 1

  • BLOOMFIELD PHARMACY NORTH PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231024000754 MI Part B Supplier - Pharmacy 4789030032 Practice locations: Pontiac, MI

National Provider Directory

National Provider Directory

Locations

44200 Woodward Ave
Ste 107
Pontiac, MI 48341
Phone (248) 334-7700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1427234863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44200 WOODWARD AVE",
            "address_2": "SUITE 107",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415045",
            "telephone_number": "248-334-7700",
            "fax_number": "247-334-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44200 WOODWARD AVE",
            "address_2": "STE 107",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415045",
            "telephone_number": "248-334-7700",
            "fax_number": "248-334-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD PHARMACY NORTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "ZAHR",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "RIAD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "248-334-7700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLOOMFIELD PHARMACY NORTH PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLOOMFIELD PHARMACY NORTH PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.