Organization Active NPI

City of Detroit

  • Clinic Pharmacy
  • Detroit, MI
National Provider Identifier
1447433842
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
5201006228 Issued in MI
Legal business name
CITY OF DETROIT
Practice address
3245 E Jefferson Ave Ste 100
Detroit, MI 48207-4222
Phone
(313) 876-4000
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kanzoni Asabigi
Title
Senior Public Health Advisor
Phone
(313) 876-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 5201006228 MI Primary

Addresses

Primary practice location

3245 E Jefferson Ave Ste 100
Detroit, MI 48207-4222

Mailing address

5400 E 7 Mile Rd
Detroit, MI 48234-2461
Phone (313) 852-4292

Other identifiers 1

IdentifierTypeStateIssuer
2354330MedicaidMI

Other names 1

  • Detroit Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emergency Medical Serv15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447433842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342461",
            "telephone_number": "313-852-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 E JEFFERSON AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074222",
            "telephone_number": "313-876-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ASABIGI",
        "authorized_official_first_name": "KANZONI",
        "authorized_official_title_or_position": "SENIOR PUBLIC HEALTH ADVISOR",
        "authorized_official_telephone_number": "313-876-4000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MI",
            "license": "5201006228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detroit Health Department",
            "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 Jul 21, 2022; 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.