Blain Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008965 Issued in MI

Legal business name

BLAIN PHARMACY LLC

Practice address

2141 E Jefferson Ave
Detroit, MI 48207-4128

Phone

(313) 393-2323

Fax

(313) 393-8148

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Emad Hamdan

Title

Owner

Phone

(313) 393-2323

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Blain Pharmacy Doing business as

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1659408995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074128",
            "telephone_number": "313-393-2323",
            "fax_number": "313-393-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074128",
            "telephone_number": "313-393-2323",
            "fax_number": "313-393-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "HAMDAN",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-393-2323"
    },
    "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": "5301008965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119239",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2362692",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blain Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Blackwell
• Makayla Shannel Blackwell
• Carlesha Ashanti Blades, M.D.
• Victoria Blaga
• Erin N Blaim, LLMSW
• David Andrew Blair, PHARMD
• Ginger Radd Blair, MSW
• Ingrid L Blair, RN
• Lisa Blair
• Monique Danielle Blair

• 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 Sep 6, 2016; 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.