Super Mart Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUPER MART PHARMACY

Practice address

12230 E 8 Mile Rd
Detroit, MI 48205-1048

Phone

(313) 371-7865

NPI assigned

Nov 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Hassan Abdallah, R.PH

Title

Pharmacist

Phone

(586) 662-0050

Specialties & licenses 1

Addresses

Tax ID family

Super Mart 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.

• Super Mart Pharmacy PC

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1124322128
  NPD tax ID

Locations

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1649424292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051048",
            "telephone_number": "313-371-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051048",
            "telephone_number": "313-371-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER MART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "586-662-0050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronaldo B Supena, MD
• Super Dental of Eight Mile Road, PC
• Super Dental of Livernois Ave, PC
• Super Dental of Plymouth Road, PC
• Super Dental, PC
• Super Mart Pharmacy PC
• Justin R Super, PHARM.D.
• Superb Dental, PC
• Superior ABA LLC
• Superior Executive Transportation

• 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 Nov 10, 2008; 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.