Prestige Specialty Pharmacy 3

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRESTIGE SPECIALTY PHARMACY 3

Doing business as

Prestige specialty pharmacy 3

Practice address

31700 Van Dyke Ave Ste C
Warren, MI 48093-7949

Phone

(586) 800-8003

Fax

(586) 883-9388

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Amro Sharafeldin

Title

Ceo

Phone

(586) 800-8003

Specialties & licenses 1

Addresses

Other names 1

• Prestige specialty pharmacy 3 Doing business as

Locations

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1629532593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31700 VAN DYKE AVE STE C",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937949",
            "telephone_number": "586-800-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 VAN DYKE AVE STE C",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937949",
            "telephone_number": "586-800-8003",
            "fax_number": "586-883-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE SPECIALTY PHARMACY 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "SHARAFELDIN",
        "authorized_official_first_name": "AMRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-800-8003"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige specialty pharmacy 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Warren, MI
• Providers in Warren, 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 Jan 24, 2019; 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.