Active NPI
BSW Pharmacy Services LLC
- Community/Retail Pharmacy
- Wayne, MI
National Provider Identifier
1508103292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301009995
- Legal business name
- BSW PHARMACY SERVICES LLC
- Doing business as
- WAYNE PROFESSIONAL PHARMACY
- Practice address
- 34841 Veterans PLZ
Wayne, MI 48184-1733 - Phone
- (734) 728-8306
- Fax
- (734) 728-8506
- NPI assigned
- Jan 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominick Rutherford
- Title
- Pharmacist in Charge
- Phone
- (734) 728-8306
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301009995 | MI | Primary |
Addresses
Primary practice location
34841 Veterans PLZ
Wayne, MI 48184-1733
Mailing address
34841 Veterans PLZ
Wayne, MI 48184-1733
Phone (734) 728-8306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138536 | Other | PK |
Other names 1
- WAYNE PROFESSIONAL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- BSW Pharmacy Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Wayne, MI
- NPI 1174243570
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Wayne, MI
- NPI 1538416334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661731200000",
"number": "1508103292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34841 VETERANS PLZ",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841733",
"telephone_number": "734-728-8306",
"fax_number": "734-728-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34841 VETERANS PLZ",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841733",
"telephone_number": "734-728-8306",
"fax_number": "734-728-8506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BSW PHARMACY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-15",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A",
"authorized_official_last_name": "RUTHERFORD",
"authorized_official_first_name": "DOMINICK",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "734-728-8306"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301009995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2138536",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WAYNE PROFESSIONAL PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WAYNE PROFESSIONAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.