Active NPI
Preferred Speciality Pharmacy & Home Infusion
- Community/Retail Pharmacy
- Detroit, MI
National Provider Identifier
1427250208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- L1188219
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Infusion
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1982861514
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.