Millennium Specialty LTC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008540 Issued in MI

Legal business name

MILLENNIUM SPECIALTY LTC

Doing business as

New Millennium Drugs TLC

Practice address

30141 Cherry Hill Rd
Inkster, MI 48141

Phone

(734) 721-2100

Fax

(734) 721-2702

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mahmoud Abdel-Jawad

Title

Treasurer

Phone

(248) 906-9797

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• New Millennium Drugs TLC Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1609881259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30141 CHERRY HILL RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "48141",
            "telephone_number": "734-721-2100",
            "fax_number": "734-721-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30141 CHERRY HILL RD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "48141",
            "telephone_number": "734-721-2100",
            "fax_number": "734-721-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM SPECIALTY LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-10-04",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "ABDEL-JAWAD",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "248-906-9797"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008540",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042302",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4361646",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Millennium Drugs TLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Inkster, MI
• Providers in Inkster, 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 Oct 4, 2021; 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.