Organization Active NPI

Paradise Pharmacy, LLC

  • Pharmacy
  • Detroit, MI
National Provider Identifier
1558039222
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PARADISE PHARMACY, LLC
Practice address
13031 Conant St
Detroit, MI 48212-2361
Phone
(313) 893-3339
Fax
(313) 893-3337
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Mr. Fahad NaeemNPI 1013653567
Title
Owner
Phone
(586) 554-3787

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)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

13031 Conant St
Detroit, MI 48212-2361

Mailing address

13031 Conant St
Detroit, MI 48212-2361
Phone (313) 893-3339

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1558039222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13031 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122361",
            "telephone_number": "313-893-3339",
            "fax_number": "313-893-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13031 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122361",
            "telephone_number": "313-893-3339",
            "fax_number": "313-893-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-554-3787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 2, 2021; 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.