Active NPI
Schaefer Trudell
- Community/Retail Pharmacy
- Dearborn, MI
National Provider Identifier
1447724281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SCHAEFER TRUDELL
- Practice address
- 5711 Schaefer Rd # B
Dearborn, MI 48126-2290 - Phone
- (313) 581-2424
- Fax
- (313) 581-2193
- NPI assigned
- Jan 15, 2019
- 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
- Sarah A Beydoun
- Title
- President
- Phone
- (313) 581-2424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
5711 Schaefer Rd # B
Dearborn, MI 48126-2290
Mailing address
5711 Schaefer Rd Ste B
Dearborn, MI 48126-2290
Phone (313) 581-2424
Other names 1
- Trudell Pharmacy
National Provider Directory
National Provider DirectoryLocations
5711 Schaefer Rd
#B
Dearborn, MI 48126
Phone (313) 581-2424
5711 Schaefer Rd
Ste B
Dearborn, MI 48126
Phone (313) 477-9777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551312000000",
"number": "1447724281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5711 SCHAEFER RD STE B",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262290",
"telephone_number": "313-581-2424",
"fax_number": "313-581-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5711 SCHAEFER RD # B",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262290",
"telephone_number": "313-581-2424",
"fax_number": "313-581-2193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHAEFER TRUDELL",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-15",
"last_updated": "2019-02-28",
"status": "A",
"authorized_official_last_name": "BEYDOUN",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-581-2424"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trudell Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Trudell Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.