NPIMap

Organization Active NPI

Ferndale Pharmacy

  • Community/Retail Pharmacy
  • Ferndale, MI
National Provider Identifier
1710164207
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5315034413 Issued in MI
Legal business name
FERNDALE PHARMACY
Practice address
825 W 9 Mile Rd
Ferndale, MI 48220-1267
Phone
(248) 543-7758
Fax
(586) 576-0455
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
George Harb
Title
Owner
Phone
(248) 592-9353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5315034413 MI Primary

Addresses

Primary practice location

825 W 9 Mile Rd
Ferndale, MI 48220-1267

Mailing address

825 W 9 Mile Rd
Ferndale, MI 48220-1267

Other identifiers 1

IdentifierTypeStateIssuer
2370726OtherOTHER ID NUMBER

Other names 1

  • FERNDALE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1710164207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201267",
            "telephone_number": "248-543-7758",
            "fax_number": "586-576-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNDALE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "HARB",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-592-9353"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5315034413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2370726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FERNDALE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.