Organization Active NPI

Jan'S Discount Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
National Provider Identifier
1730358011
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5301007018 Issued in MI
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

Updated by the provider on Feb 21, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4108595MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Jans Discount Pharmacy Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.