Park Medical RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010727 Issued in MI

Legal business name

PARK MEDICAL RX LLC

Practice address

20720 Plymouth Rd
Detroit, MI 48228-1275

Phone

(313) 651-5887

Fax

(313) 651-5889

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Maitham Alsharifi

Title

Pharmacist

Phone

(313) 930-2185

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Park Medical Rx LLC Doing business as

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1629448089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20720 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281275",
            "telephone_number": "313-651-5887",
            "fax_number": "313-651-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20720 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281275",
            "telephone_number": "313-651-5887",
            "fax_number": "313-651-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEDICAL RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "ALSHARIFI",
        "authorized_official_first_name": "MAITHAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-930-2185"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Medical Rx LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Park Dental Care PC
• Park Dental Service, P.C.
• Park Family Health Care, P.C.
• Park Med Pharmacy LLC
• Park Medical Pharmacy Inc
• Park Shelton Pharmacy
• Andrew Ji Hoon Park, MD
• Hakmin Park, M.D.
• Hyunkyu Park, DMD
• Jae Hong Park

• 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 Mar 2, 2017; 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.