Active NPI
Jan'S Discount Pharmacy
- Durable Medical Equipment & Medical Supplies
- Detroit, MI
National Provider Identifier
1730358011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 5301007018
- Legal business name
- JAN'S DISCOUNT PHARMACY
- Practice address
- 1700 Junction St
Detroit, MI 48209-2110 - Phone
- (313) 843-8770
- NPI assigned
- Feb 21, 2008
- 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
- Mr. Christopher Gerard Roos, R.PH.
- Title
- President
- Phone
- (313) 843-8770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5301007018 | MI | Primary |
Addresses
Primary practice location
1700 Junction St
Detroit, MI 48209-2110
Mailing address
1700 Junction St
Detroit, MI 48209-2110
Phone (313) 843-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4108595 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Jans Discount Pharmacy Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Clinton Township, MI
- NPI 1033387584
-
- Durable Medical Equipment & Medical Supplies
- Detroit, MI
- NPI 1396914222
-
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1740345172
-
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1073621447
-
- Community/Retail Pharmacy
- Clinton TWP, MI
- NPI 1326156795
-
- Community/Retail Pharmacy
- West Bloomfield, MI
- NPI 1699883066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1730358011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 JUNCTION ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482092110",
"telephone_number": "313-843-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 JUNCTION ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482092110",
"telephone_number": "313-843-8770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAN'S DISCOUNT PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "ROOS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "GERARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-843-8770",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "5301007018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4108595",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
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 21, 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.