Organization Active NPI

Atlas Pharmacy Inc.

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1457420986
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ATLAS PHARMACY INC.
Practice address
2645 W. Davison
Detroit, MI 48238-3443
Phone
(313) 868-0940
Fax
(313) 868-0941
NPI assigned
Nov 7, 2006
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
Mr. Rene Abdallah Eid, RPH
Title
Owner
Phone
(313) 868-0940

Specialties & licenses 1

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

Addresses

Primary practice location

2645 W. Davison
Detroit, MI 48238-3443

Mailing address

2645 W Davison
Detroit, MI 48238-3443
Phone (313) 868-0940

National Provider Directory

National Provider Directory

Locations

2645 W Davison
Detroit, MI 48238
Phone (313) 334-5102

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1457420986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 W DAVISON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383443",
            "telephone_number": "313-868-0940",
            "fax_number": "313-868-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 W. DAVISON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383443",
            "telephone_number": "313-868-0940",
            "fax_number": "313-868-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "EID",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "ABDALLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-868-0940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.