Romulus City Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301005869 Issued in MI

Legal business name

ROMULUS CITY PHARMACY INC

Practice address

23100 Cherry Hill St
Dearborn, MI 48124-1493

Phone

(313) 274-5990

Fax

(313) 274-1479

NPI assigned

May 5, 2007

Organization subpart

No

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

Authorized official

Name

Jacklien Sahouriyeh

Title

Owner

Phone

(313) 274-5990

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CHERRY HILL PHARMACY #2 Doing business as

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1659583045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241493",
            "telephone_number": "313-274-5990",
            "fax_number": "313-274-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241493",
            "telephone_number": "313-274-5990",
            "fax_number": "313-274-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMULUS CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "SAHOURIYEH",
        "authorized_official_first_name": "JACKLIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-274-5990"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301005869",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2930008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042237",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHERRY HILL PHARMACY #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.