Organization Active NPI

R and B Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1689040065
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010712 Issued in MI
Legal business name
R AND B PHARMACY LLC
Practice address
16003 Mack Ave
Detroit, MI 48224-3507
Phone
(313) 499-1043
Fax
(313) 499-1719
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Mr. Roger Headen
Title
Owner
Phone
(313) 499-1043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301010712 MI Primary

Addresses

Primary practice location

16003 Mack Ave
Detroit, MI 48224-3507

Mailing address

16003 Mack Ave
Detroit, MI 48224-3507
Phone (313) 499-1043

Other names 1

  • R&B Pharmacy LLC Other name

National Provider Directory

National Provider Directory

Locations

16003 Mack Ave
Detroit, MI 48224
Phone (313) 499-1043

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1689040065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16003 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243507",
            "telephone_number": "313-499-1043",
            "fax_number": "313-499-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16003 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243507",
            "telephone_number": "313-499-1043",
            "fax_number": "313-499-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R AND B PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "HEADEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-499-1043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R&B Pharmacy LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.