Organization Active NPI

SMT Inc

Doing business as Fenkell Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1437389632
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009124 Issued in MI
Legal business name
SMT INC
Doing business as
Fenkell Pharmacy
Practice address
10101 Fenkell St
Detroit, MI 48238-1645
Phone
(313) 935-0210
Fax
(313) 935-0793
NPI assigned
Jul 22, 2009
Last updated
Nov 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Rana Naeem
Title
President
Phone
(313) 934-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009124 MI Primary

Addresses

Primary practice location

10101 Fenkell St
Detroit, MI 48238-1645

Mailing address

10101 Fenkell St
Detroit, MI 48238-1645
Phone (313) 935-0210

Other identifiers 1

IdentifierTypeStateIssuer
2373099OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Fenkell Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1437389632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381645",
            "telephone_number": "313-935-0210",
            "fax_number": "313-935-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381645",
            "telephone_number": "313-935-0210",
            "fax_number": "313-935-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "RANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-934-7777"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2373099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fenkell 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 Nov 12, 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.