Active NPI
United Medical Development LLC
- Clinic Pharmacy
- Southfield, MI
National Provider Identifier
1689259723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- UNITED MEDICAL DEVELOPMENT LLC
- Practice address
- 29155 Northwestern Hwy Ste 366
Southfield, MI 48034-1011 - Phone
- (312) 972-8535
- NPI assigned
- Mar 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anzour Jallouqa
- Title
- Member
- Phone
- (312) 972-8535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
Primary practice location
29155 Northwestern Hwy Ste 366
Southfield, MI 48034-1011
Mailing address
29155 Northwestern Hwy Ste 366
Southfield, MI 48034-1011
Phone (312) 972-8535
National Provider Directory
National Provider DirectoryLocations
29155 Northwestern Hwy
Southfield, MI 48034
Phone (248) 632-8398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615334400000",
"number": "1689259723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29155 NORTHWESTERN HWY STE 366",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341011",
"telephone_number": "312-972-8535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29155 NORTHWESTERN HWY STE 366",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341011",
"telephone_number": "312-972-8535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED MEDICAL DEVELOPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-02-16",
"status": "A",
"authorized_official_last_name": "JALLOUQA",
"authorized_official_first_name": "ANZOUR",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "312-972-8535"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Unique Home Health
- United Health and Wellness Inc.
- United Home Help Care Inc
- United Lab RX, LLC
- United Medical
- United Medical Equipment Inc
- United Medical Surgical Specialists PLLC (Harvard Medical Surgical Specialist)
- United Rehabilitation Services LLC
- United States Home Health Care, Inc.
- United Visiting Physician PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.