Organization Active NPI

Nova Health Pharmacy LLC

Doing business as ADS - Southfield

  • Community/Retail Pharmacy
  • Southfield, MI
National Provider Identifier
1740199769
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NOVA HEALTH PHARMACY LLC
Doing business as
ADS - Southfield
Practice address
25775 W 10 Mile Rd Ste C
Southfield, MI 48033-4856
Phone
(248) 829-7799
Fax
(248) 829-7975
NPI assigned
Sep 4, 2026
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Abbas Mansour
Title
Owner
Phone
(248) 829-7799

Specialties & licenses 1

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

Addresses

Primary practice location

25775 W 10 Mile Rd Ste C
Southfield, MI 48033-4856

Mailing address

13700 E 12 Mile Rd
PMB 104
Warren, MI 48088
Phone (248) 829-7799

Other names 1

  • ADS - Southfield 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": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1740199769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 E 12 MILE RD",
            "address_2": "PMB 104",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48088",
            "telephone_number": "248-829-7799",
            "fax_number": "248-829-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25775 W 10 MILE RD STE C",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334856",
            "telephone_number": "248-829-7799",
            "fax_number": "248-829-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HEALTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-829-7799"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADS - Southfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.