Organization Active NPI

Patient 1St Pharmacy LLC

  • Community/Retail Pharmacy
  • Madison HTS, MI
National Provider Identifier
1659964906
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PATIENT 1ST PHARMACY LLC
Practice address
1190 E 12 Mile Rd
Madison HTS, MI 48071-2648
Phone
(313) 784-7793
NPI assigned
Feb 18, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Hassan Fayad
Title
Owner
Phone
(313) 888-2333

National Provider Directory

National Provider Directory

Locations

1190 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 809-3631

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

1190 E 12 Mile Rd
Madison HTS, MI 48071-2648

Mailing address

1190 E 12 Mile Rd
Madison HTS, MI 48071-2648

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2022.

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1659964906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 E 12 MILE RD",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480712648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E 12 MILE RD",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480712648",
            "telephone_number": "313-784-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT 1ST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "FAYAD",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-888-2333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.