Excel Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008452 Issued in MI

Legal business name

EXCEL PHARMACY LLC

Practice address

17731 E Warren Ave
Detroit, MI 48224-1329

Phone

(313) 308-4500

Fax

(866) 299-8907

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Eddy Aoun, PHARMD

Title

Owner and Pharmacist

Phone

(313) 308-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EXCEL PHARMACY LLC Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1619082641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17731 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241329",
            "telephone_number": "313-308-4500",
            "fax_number": "866-299-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17731 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241329",
            "telephone_number": "313-308-4500",
            "fax_number": "866-299-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "AOUN",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "313-308-4500",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2368620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEL PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas James Evon
• Kimberly Ewald
• Maria Ewing, LPN
• Kizzy Tawan Ewings, CCHW
• Exalted Senior Care LLC
• Excellent Inc.
• Excelsior Home 1 Inc.
• Exceptional Deliverence Ministries
• Exclusive Physicians PLLC
• Exclusive Physicians PLLC

• 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 Jun 7, 2011; 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.