Pharmacy Services Downriver LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACY SERVICES DOWNRIVER LLC

Doing business as

Eureka Pharmacy

Practice address

2329 Eureka Rd
Wyandotte, MI 48192-6020

Phone

(734) 767-7777

NPI assigned

Dec 15, 2019

Last updated

Mar 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Indrit Agalliu, PHARM.D.NPI 1447627765

Title

Pharmacist in Charge

Phone

(734) 767-7777

Specialties & licenses 1

Addresses

Other names 1

• Eureka Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Indrit Agalliu, PHARM.D.

  • Pharmacist
  • Wyandotte, MI
  • NPI 1447627765
  NPD Authorized official

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1427696012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 EUREKA RD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926020",
            "telephone_number": "734-767-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 EUREKA RD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926020",
            "telephone_number": "734-767-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SERVICES DOWNRIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-15",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "AGALLIU",
        "authorized_official_first_name": "INDRIT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "734-767-7777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eureka Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Perry
• Arshad Pervez, M.D.
• Azabelle Peters, DO
• Margaret Mary Pfeifer Lincoln, LMSW ACSW
• Byron C Pflaum II, D.O.
• Jasmine Philipose, DO
• Alexander Piasecki, NP-C
• Russell James Pieper, D.O.
• Henri M. Pierre-Jacques, M.D.
• Elizabeth S Plemmons, MD

• Community/Retail Pharmacy in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.