Advance Care Pharmacy PC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009649 Issued in MI

Legal business name

ADVANCE CARE PHARMACY PC

Doing business as

Advance Care Pharmacy

Practice address

24822 John R Rd
Hazel Park, MI 48030-1147

Phone

(248) 545-5515

Fax

(248) 545-5590

NPI assigned

Aug 8, 2011

Last updated

Dec 17, 2015By 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

Abdulghni Hassan, DR OF PHARMACY

Title

Pharmacist/Owner

Phone

(313) 574-2119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advance Care Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1629357645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24822 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301147",
            "telephone_number": "248-545-5515",
            "fax_number": "248-545-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24822 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301147",
            "telephone_number": "248-545-5515",
            "fax_number": "248-545-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ABDULGHNI",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "313-574-2119",
        "authorized_official_credential": "DR OF PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hazel Park, MI
• Providers in Hazel Park, 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 Dec 17, 2015; 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.