Organization Active NPI

Preferred Speciality Pharmacy & Home Infusion

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1427250208
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
L1188219 Issued in MI
Legal business name
PREFERRED SPECIALITY PHARMACY & HOME INFUSION
Practice address
16633 Livernois Ave
Detroit, MI 48221-3098
Phone
(313) 864-9000
Fax
(313) 864-9005
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Jason Dixon
Title
Owner
Phone
(313) 433-2636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X L1188219 MI Primary

Addresses

Primary practice location

16633 Livernois Ave
Detroit, MI 48221-3098

Mailing address

16633 Livernois Ave
Ste 3
Detroit, MI 48221-3098
Phone (313) 864-9000

National Provider Directory

National Provider Directory
Tax ID family
Preferred Speciality Pharmacy Home Infusion2 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.

Locations

16633 Livernois Ave
Detroit, MI 48221
Phone (313) 864-9000

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1427250208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 LIVERNOIS AVE",
            "address_2": "STE 3",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213098",
            "telephone_number": "313-864-9000",
            "fax_number": "313-864-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213098",
            "telephone_number": "313-864-9000",
            "fax_number": "313-864-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED SPECIALITY PHARMACY & HOME INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-433-2636"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "L1188219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 5, 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.