Active NPI
Patient 1St Pharmacy LLC
- Community/Retail Pharmacy
- Madison HTS, MI
National Provider Identifier
1659964906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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 DirectoryLocations
1190 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 809-3631
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.