NPIMap

Organization Active NPI

Med Mart Pharmacy LLC

  • Pharmacist
  • Taylor, MI
National Provider Identifier
1447608583
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302042520 Issued in MI
Legal business name
MED MART PHARMACY LLC
Practice address
25850 Eureka Rd
Taylor, MI 48180-4924
Phone
(313) 283-3872
NPI assigned
May 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Ali BerryNPI 1760856264
Title
President
Phone
(313) 283-3872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5302042520 MI Primary

Addresses

Primary practice location

25850 Eureka Rd
Taylor, MI 48180-4924

Mailing address

27012 Havelock Dr
Dearborn Heights, MI 48127-3639
Phone (313) 283-3872

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1447608583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27012 HAVELOCK DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273639",
            "telephone_number": "313-283-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25850 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804924",
            "telephone_number": "313-283-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MART PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-283-3872"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302042520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.