NPIMap

Organization Active NPI

Springwells Clinical Pharmacy Inc

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1578690186
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008142 Issued in MI
Legal business name
SPRINGWELLS CLINICAL PHARMACY INC
Doing business as
Southwest Discount Pharmacy
Practice address
5851 W Vernor Hwy
Detroit, MI 48209-2159
Phone
(313) 841-9350
Fax
(313) 841-9377
NPI assigned
Feb 28, 2007
Organization subpart
Yes
Parent organization
SPRINGWELLS CLINICAL PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Adel Dakhlallah, RPH
Title
Owner
Phone
(313) 841-9350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301008142 MI
Community/Retail Pharmacy 3336C0003X 5301008142 MI Primary

Addresses

Primary practice location

5851 W Vernor Hwy
Detroit, MI 48209-2159

Mailing address

5851 W Vernor Hwy
Detroit, MI 48209-2159
Phone (313) 841-9350

Other identifiers 1

IdentifierTypeStateIssuer
NCPDPOtherMI2367173

Other names 1

  • Southwest Discount Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Springwells Clinical Pharmacy Inc2 organizations share this tax ID, including this one
Part of
Springwells Clinical Pharmacy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1578690186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092159",
            "telephone_number": "313-841-9350",
            "fax_number": "313-841-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092159",
            "telephone_number": "313-841-9350",
            "fax_number": "313-841-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWELLS CLINICAL PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRINGWELLS CLINICAL PHARMACY INC",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "DAKHLALLAH",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-841-9350",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008142",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2367173",
            "identifier": "NCPDP",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2015; 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.