Organization Active NPI

Sams RX Drugs

  • Pharmacy
  • Detroit, MI
National Provider Identifier
1508996935
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SAMS RX DRUGS
Practice address
4765 W Warren Ave
Detroit, MI 48210-1465
Phone
(313) 896-6734
Fax
(313) 896-1560
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Mr. Paul Cobbin Woods Sr., RPH
Title
Pharmacist Owner
Phone
(313) 896-6734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

4765 W Warren Ave
Detroit, MI 48210-1465

Mailing address

4765 W Warren Ave
Detroit, MI 48210-1465
Phone (313) 896-6734

Other identifiers 2

IdentifierTypeStateIssuer
2516357MedicaidMI
2311974OtherMINCPDP

National Provider Directory

National Provider Directory

Locations

4765 W Warren Ave
Detroit, MI 48210
Phone (313) 896-6734

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1508996935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482101465",
            "telephone_number": "313-896-6734",
            "fax_number": "313-896-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482101465",
            "telephone_number": "313-896-6734",
            "fax_number": "313-896-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMS RX DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "COBBIN",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "313-896-6734",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2516357",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2311974",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.