Save-Mart Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010910 Issued in MI

Legal business name

SAVE-MART PHARMACY INC

Practice address

18330 W Chicago St
Detroit, MI 48228-1839

Phone

(313) 635-5103

Fax

(313) 635-5132

NPI assigned

Jan 29, 2016

Organization subpart

No

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

Authorized official

Name

Waddah Mohammed Almattery

Title

Owner/Pharmacist

Phone

(313) 635-5103

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Save-Mart Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1740648203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7327",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481217327",
            "telephone_number": "313-635-5103",
            "fax_number": "313-635-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18330 W CHICAGO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281839",
            "telephone_number": "313-635-5103",
            "fax_number": "313-635-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVE-MART PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "ALMATTERY",
        "authorized_official_first_name": "WADDAH",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "313-635-5103"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5301010910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157781",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Save-Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.