Organization Active NPI

Seaway Pharmacy , P.C.

  • Community/Retail Pharmacy
  • Taylor, MI
National Provider Identifier
1457525818
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5315034932 Issued in MI
Legal business name
SEAWAY PHARMACY , P.C.
Practice address
8750 Telegraph Rd
Suite 104
Taylor, MI 48180-2397
Phone
(313) 291-2182
Fax
(313) 291-2197
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Mr. Raad Kouza, R. PH.
Title
Pharmacist
Phone
(734) 323-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5315034932 MI Primary

Addresses

Primary practice location

8750 Telegraph Rd
Suite 104
Taylor, MI 48180-2397

Mailing address

8750 Telegraph Rd
Suite 104
Taylor, MI 48180-2397
Phone (313) 291-2182

Other names 1

  • seaway pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

8750 Telegraph Rd
Ste 104
Taylor, MI 48180
Phone (313) 291-2182

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1457525818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 TELEGRAPH RD",
            "address_2": "SUITE 104",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802397",
            "telephone_number": "313-291-2182",
            "fax_number": "313-291-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 TELEGRAPH RD",
            "address_2": "SUITE 104",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802397",
            "telephone_number": "313-291-2182",
            "fax_number": "313-291-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAWAY PHARMACY , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "KOUZA",
        "authorized_official_first_name": "RAAD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "734-323-1120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5315034932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "seaway pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2014; 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.