New Atlas Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NEW ATLAS PHARMACY LLC

Doing business as

New Atlas Pharmacy

Practice address

2645 W Davison
Detroit, MI 48238-3494

Phone

(313) 334-5102

Fax

(313) 334-5104

NPI assigned

Feb 9, 2022

Organization subpart

No

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

Authorized official

Name

Tahany Mohamed

Title

President

Phone

(313) 334-5102

Specialties & licenses 2

Addresses

Other names 1

• New Atlas Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1497409353",
    "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": "482383494",
            "telephone_number": "313-334-5102",
            "fax_number": "313-334-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 W DAVISON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383494",
            "telephone_number": "313-334-5102",
            "fax_number": "313-334-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ATLAS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "TAHANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-334-5102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Atlas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Atlas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Neville
• Michael Nevills, CAC-1
• Tharisia Nevils
• Brynn Nevins, CSCS
• New Advantage Inc.
• New Beginning Counseling Services and Solutions, PLLC
• New Beginning Outreach Ministry
• New Beginnings Adult Center Inc
• New Beginnings Adult Day Program Inc
• New Beginnings Home Care Agency LLC

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.