Adonai Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ADONAI PHARMACY LLC

Doing business as

Adonai Pharmacy

Practice address

13641 E 7 Mile Rd Ste 2
Detroit, MI 48205-2257

Phone

(313) 372-4100

Fax

(313) 625-6800

NPI assigned

Feb 4, 2019

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel Oruesefieta BokanNPI 1528523529

Title

Member

Phone

(313) 258-1826

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adonai Pharmacy 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, and the practitioner matching its NPPES authorized official.

• Joel Oruesefieta Bokan, RPH

  • Pharmacist
  • Detroit, MI
  • NPI 1528523529
  NPD Authorized official

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1598220501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13641 E 7 MILE RD STE 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052257",
            "telephone_number": "313-372-4100",
            "fax_number": "313-625-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13641 E 7 MILE RD STE 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052257",
            "telephone_number": "313-372-4100",
            "fax_number": "313-625-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONAI PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "BOKAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "ORUESEFIETA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-258-1826"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598220501",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adonai Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adonai Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor Adlai, M.D.
• Alan Josef Adler, DDS
• Barry Leon Adler, MEW
• Joshua Elihu Adler, MD PHD
• Rachel Adler, FNP-C
• Adore Home Care
• Nour Adra, MD
• Adult Neuropsychology
• Adult Well Being Services
• Adult Well Being Services

• 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 Jul 14, 2020; 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.