Organization Active NPI

Big House Pharmacy, PLLC

  • Community/Retail Pharmacy
  • Ann Arbor, MI
National Provider Identifier
1457606782
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BIG HOUSE PHARMACY, PLLC
Practice address
1000 E Stadium Blvd
Ste B
Ann Arbor, MI 48104-4616
Phone
(734) 929-2425
NPI assigned
Jul 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Mr. Sufyan Mosbah Abunada, RPH, MBA
Title
President
Phone
(248) 207-5416

Specialties & licenses 1

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

Addresses

Primary practice location

1000 E Stadium Blvd
Ste B
Ann Arbor, MI 48104-4616

Mailing address

1000 E Stadium Blvd
Ste B
Ann Arbor, MI 48104-4616
Phone (734) 929-2425

National Provider Directory

National Provider Directory

Locations

1000 E Stadium Blvd
Ste B
Ann Arbor, MI 48104
Phone (734) 929-2425

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1457606782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E STADIUM BLVD",
            "address_2": "STE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044616",
            "telephone_number": "734-929-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E STADIUM BLVD",
            "address_2": "STE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044616",
            "telephone_number": "734-929-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HOUSE PHARMACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "ABUNADA",
        "authorized_official_first_name": "SUFYAN",
        "authorized_official_middle_name": "MOSBAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-207-5416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.