Lafayette Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009705 Issued in MI

Legal business name

LAFAYETTE PHARMACY LLC

Doing business as

PharMor Pharmacy- Lafayette

Practice address

1565 E Lafayette St
Detroit, MI 48207-2958

Phone

(313) 396-5555

Fax

(313) 396-5665

NPI assigned

Dec 15, 2011

Organization subpart

No

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

Authorized official

Name

Mohamed Sohoubah

Title

Owner

Phone

(313) 396-5555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PharMor Pharmacy- Lafayette Doing business as

Locations

Practitioners 1

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

• Vamsi K Ramachandrapurapu

  • Pharmacist
  • Detroit, MI
  • NPI 1366939860
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1578832846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23815 NORTHWESTERN HWY",
            "address_2": "SUITE 215",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757738",
            "telephone_number": "248-663-3380",
            "fax_number": "248-419-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 E LAFAYETTE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072958",
            "telephone_number": "313-396-5555",
            "fax_number": "313-396-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "SOHOUBAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-396-5555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132926",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMor Pharmacy- Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamal Laden
• Kenneth Laesser
• Elena Lafata, MD
• Karla Renee Lafata, CRNA
• Lafayette Drugs Inc (Lafayette Drugs Savmor)
• Renita Laffitte
• William Joseph Laffrey Jr., LLP
• Michelle Suzanne Lafleche
• Anthony T Lagina, M.D.
• Alexander L Lagman, CRNA

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.