NPIMap

Organization Active NPI

Jans Disc Phcy III

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1740345172
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008556 Issued in MI
Legal business name
JANS DISC PHCY III
Doing business as
JANS SAV MOR DISCOUNT PHCY III
Practice address
1700 Waterman St
Detroit, MI 48209-2022
Phone
(313) 842-9660
Fax
(313) 842-9660
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Chris Roos
Title
Owner
Phone
(313) 842-9660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 5301008556 MI Primary

Addresses

Primary practice location

1700 Waterman St
Detroit, MI 48209-2022

Mailing address

PO Box 79001
Detroit, MI 48279-0002
Phone (248) 348-1570

Other identifiers 1

IdentifierTypeStateIssuer
2369216OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • JANS SAV MOR DISCOUNT PHCY III Doing business as

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1740345172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79001",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482790002",
            "telephone_number": "248-348-1570",
            "fax_number": "248-348-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WATERMAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092022",
            "telephone_number": "313-842-9660",
            "fax_number": "313-842-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANS DISC PHCY III",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "ROOS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-842-9660"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2369216",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JANS SAV MOR DISCOUNT PHCY III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 1, 2011; 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.