Organization Active NPI

Sams-Y-Inc

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1609957935
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAMS-Y-INC
Practice address
14200 Fenkell St
Detroit, MI 48227-3217
Phone
(313) 493-1400
Fax
(313) 493-1633
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Mr. Marvin Jay Yagoda, RPH
Title
Pharmacist
Phone
(313) 493-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

14200 Fenkell St
Detroit, MI 48227-3217

Mailing address

14200 Fenkell St
Detroit, MI 48227-3217
Phone (313) 493-1400

Other identifiers 1

IdentifierTypeStateIssuer
2516320MedicaidMI

Other names 1

  • Sams Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

14200 Fenkell St
Detroit, MI 48227
Phone (313) 493-1400

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1609957935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273217",
            "telephone_number": "313-493-1400",
            "fax_number": "313-493-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273217",
            "telephone_number": "313-493-1400",
            "fax_number": "313-493-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMS-Y-INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "YAGODA",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-493-1400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2516320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sams Drugs",
            "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 19, 2009; 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.