Extra Care Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010703 Issued in MI

Legal business name

EXTRA CARE PHARMACY INC.

Practice address

22341 W 8 Mile Rd
Detroit, MI 48219-1217

Phone

(313) 387-1700

Fax

(313) 387-1704

NPI assigned

Jul 2, 2015

Organization subpart

No

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

Authorized official

Name

Wissam Salame

Title

Owner

Phone

(313) 320-6003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1669855136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22341 W 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191217",
            "telephone_number": "313-387-1700",
            "fax_number": "313-387-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22341 W 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191217",
            "telephone_number": "313-387-1700",
            "fax_number": "313-387-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA CARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "SALAME",
        "authorized_official_first_name": "WISSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-320-6003"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Detroit, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.