DMZ Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010378 Issued in MI

Legal business name

DMZ PHARMACY LLC

Doing business as

Americo Pharmacy

Practice address

24355 Ford Rd
Dearborn, MI 48128-1129

Phone

(313) 563-7777

Fax

(313) 563-3677

NPI assigned

Mar 25, 2014

Last updated

Dec 1, 2015By 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

Talal MaisariNPI 1124449202

Title

Owner/Pharmacist

Phone

(313) 204-3455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Americo Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Talal Maisari

  • Pharmacist
  • Allen Park, MI
  • NPI 1124449202
  NPD Authorized official

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1467879759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24355 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281129",
            "telephone_number": "313-563-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24355 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281129",
            "telephone_number": "313-563-7777",
            "fax_number": "313-563-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMZ PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "MAISARI",
        "authorized_official_first_name": "TALAL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "313-204-3455"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144388",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Americo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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 Dec 1, 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.