Organization Active NPI

New Seven Mile Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1609310937
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011071 Issued in MI
Legal business name
NEW SEVEN MILE PHARMACY LLC
Practice address
14400 Gratiot Ave
Detroit, MI 48205-2307
Phone
(313) 245-9920
Fax
(313) 245-9921
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Fadi Farran
Title
Member
Phone
(313) 245-9920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301011071 MI Primary

Addresses

Primary practice location

14400 Gratiot Ave
Detroit, MI 48205-2307

Mailing address

PO Box 7160
Dearborn, MI 48121-7160
Phone (313) 245-9920

Other identifiers 1

IdentifierTypeStateIssuer
2166532OtherPK

Other names 1

  • NEW SEVEN MILE PHARMACY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

14400 Gratiot Ave
Detroit, MI 48205
Phone (313) 245-9920

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1609310937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7160",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481217160",
            "telephone_number": "313-245-9920",
            "fax_number": "313-245-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052307",
            "telephone_number": "313-245-9920",
            "fax_number": "313-245-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SEVEN MILE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "FARRAN",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-245-9920"
    },
    "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": "5301011071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166532",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW SEVEN MILE PHARMACY LLC",
            "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 Mar 1, 2017; 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.