Organization Active NPI

Ultracare Pharmacy LLC

  • Community/Retail Pharmacy
  • Hamtramck, MI
National Provider Identifier
1699068254
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009666 Issued in MI
Legal business name
ULTRACARE PHARMACY LLC
Practice address
3530 Carpenter St
Hamtramck, MI 48212-2766
Phone
(313) 645-1088
Fax
(313) 368-9987
NPI assigned
May 16, 2011
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Tanveer Hussain
Title
Ceo
Phone
(313) 645-1088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009666 MI Primary

Addresses

Primary practice location

3530 Carpenter St
Hamtramck, MI 48212-2766

Mailing address

3530 Carpenter St
Hamtramck, MI 48212-5038
Phone (313) 645-1088

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1699068254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 CARPENTER ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482125038",
            "telephone_number": "313-645-1088",
            "fax_number": "313-368-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 CARPENTER ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122766",
            "telephone_number": "313-645-1088",
            "fax_number": "313-368-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRACARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "TANVEER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-645-1088"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.