Citizens Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011028 Issued in MI

Legal business name

CITIZENS PHARMACY INC

Practice address

15537 Schoolcraft St
Detroit, MI 48227-1755

Phone

(313) 770-7771

Fax

(313) 744-7002

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Nada Joudi

Title

Owner

Phone

(313) 804-9377

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Citizens Pharmacy Doing business as

Tax ID family

Citizens Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Citizens Pharmacy Inc

  • Health Maintenance Organization
  • Detroit, MI
  • NPI 1215488689
  NPD tax ID

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1639620750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15537 SCHOOLCRAFT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271755",
            "telephone_number": "313-770-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15537 SCHOOLCRAFT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271755",
            "telephone_number": "313-770-7771",
            "fax_number": "313-744-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "JOUDI",
        "authorized_official_first_name": "NADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-804-9377"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citizens Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Cislo
• Ligia Elena Cisneros-Gonzalez, M.D
• Eugenia B Cissoko I
• Cederick Deon Cistrunk, PA-C
• Citizens Pharmacy Inc
• Kenneth Citron
• City Drugs Pharmacy
• City Home Care, LLC
• City Med Clinic LLC
• City of Detroit

• 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 29, 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.