Organization Active NPI

Chase Health Pharmacy PC

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1568891703
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010232 Issued in MI
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

Updated by the provider on Jan 29, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2139654OtherPK

Other names 1

  • Chase Health Pharmacy pc Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.