John R RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JOHN R RX LLC

Doing business as

John R Rx LLC

Practice address

21670 John R Rd Ste 5
Hazel Park, MI 48030-2015

Phone

(313) 353-9257

Fax

(616) 333-7674

NPI assigned

Oct 25, 2019

Last updated

Oct 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nilupa Rahman

Title

Compliance Officer

Phone

(313) 353-9257

Specialties & licenses 1

Addresses

Other names 1

• John R Rx LLC Doing business as

Locations

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1457994170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21670 JOHN R RD STE 5",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480302015",
            "telephone_number": "313-353-9257",
            "fax_number": "616-333-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21670 JOHN R RD STE 5",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480302015",
            "telephone_number": "313-353-9257",
            "fax_number": "616-333-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "NILUPA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "313-353-9257"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John R Rx LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.