Active NPI
Chase Health Pharmacy PC
- Community/Retail Pharmacy
- Dearborn, MI
National Provider Identifier
1568891703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301010232
- Legal business name
- CHASE HEALTH PHARMACY PC
- Doing business as
- Chase Health Pharmacy pc
- Practice address
- 6200 Chase Rd
Dearborn, MI 48126-2108 - Phone
- (313) 769-6817
- Fax
- (313) 769-6814
- NPI assigned
- Nov 8, 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
- Abir Shukr
- Title
- Pharmacist in Charge
- Phone
- (313) 673-6565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301010232 | MI | Primary |
Addresses
Primary practice location
6200 Chase Rd
Dearborn, MI 48126-2108
Mailing address
6200 Chase Rd
Dearborn, MI 48126-2108
Phone (313) 769-6817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2139654 | Other | PK |
Other names 1
- Chase Health Pharmacy pc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390953600000",
"number": "1568891703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 CHASE RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262108",
"telephone_number": "313-769-6817",
"fax_number": "313-769-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 CHASE RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262108",
"telephone_number": "313-769-6817",
"fax_number": "313-769-6814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHASE HEALTH PHARMACY PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-08",
"last_updated": "2014-01-29",
"status": "A",
"authorized_official_last_name": "SHUKR",
"authorized_official_first_name": "ABIR",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "313-673-6565"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301010232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2139654",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chase Health Pharmacy pc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.