Organization Active NPI

Purepoint Pharmacy LLC

  • Community/Retail Pharmacy
  • Oak Park, MI
National Provider Identifier
1669011524
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PUREPOINT PHARMACY LLC
Practice address
15075 Lincoln St Apt 110
Oak Park, MI 48237-1289
Phone
(313) 467-0264
NPI assigned
Dec 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Authorized official

Name
Mohammed Ibrahim, PHARM.D
Title
Ao, Pic
Phone
(313) 467-0264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

15075 Lincoln St Apt 110
Oak Park, MI 48237-1289

Mailing address

15075 Lincoln St Apt 110
Oak Park, MI 48237-1289
Phone (313) 467-0264

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1669011524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15075 LINCOLN ST APT 110",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371289",
            "telephone_number": "313-467-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15075 LINCOLN ST APT 110",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371289",
            "telephone_number": "313-467-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREPOINT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "AO, PIC",
        "authorized_official_telephone_number": "313-467-0264",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.