Dearborn Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DEARBORN COMMUNITY PHARMACY LLC

Doing business as

independent community pharmacy

Practice address

8742 W Warren Ave
Dearborn, MI 48126-4043

Phone

(313) 931-2133

Fax

(313) 931-3509

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By 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

Mr. Tobore Ugbosu

Title

Manager

Phone

(313) 931-2133

Specialties & licenses 2

Addresses

Other names 1

• independent community pharmacy Doing business as

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1619131141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8742 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264043",
            "telephone_number": "313-931-2133",
            "fax_number": "313-931-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8742 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264043",
            "telephone_number": "313-931-2133",
            "fax_number": "313-931-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "UGBOSU",
        "authorized_official_first_name": "TOBORE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-931-2133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301008886",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "independent community pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dearborn Community Dental Center P.C.
• Dearborn Dental Care
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• Dearborn Dental Group West
• Dearborn Ear Nose and Throat Clinic
• Dearborn Family Clinic, P.C.

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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, 2008; 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.