United Specialty Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301010921 Issued in MI

Legal business name

UNITED SPECIALTY PHARMACY LLC

Doing business as

United Specialty Pharmacy

Practice address

25205 Trowbridge St
Dearborn, MI 48124-2414

Phone

(313) 558-9448

Fax

(313) 558-9451

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

Bilal Chaaban

Title

Owner

Phone

(313) 558-9448

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• United Specialty Pharmacy Doing business as

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1629422498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25205 TROWBRIDGE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242414",
            "telephone_number": "313-558-9448",
            "fax_number": "313-558-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25205 TROWBRIDGE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242414",
            "telephone_number": "313-558-9448",
            "fax_number": "313-558-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "CHAABAN",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-558-9448"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301010921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159672",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.