Organization Active NPI

Miinfa Inc.

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1750636080
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MIINFA INC.
Practice address
14379 Livernois Ave
Detroit, MI 48238-2507
Phone
(313) 491-7450
Fax
(313) 491-7451
NPI assigned
Jul 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mr. Mufutau Adegunlola, PHARMACISTNPI 1447484589
Title
Pharmacy Manager
Phone
(313) 491-7450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301009873 MI
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

14379 Livernois Ave
Detroit, MI 48238-2507

Mailing address

14379 Livernois Ave
Detroit, MI 48238-2507
Phone (313) 491-7450

Other names 1

  • Smart Choice Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

14379 Livernois Ave
Detroit, MI 48238
Phone (313) 491-7450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1750636080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14379 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382507",
            "telephone_number": "313-491-7450",
            "fax_number": "313-491-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14379 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382507",
            "telephone_number": "313-491-7450",
            "fax_number": "313-491-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIINFA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "ADEGUNLOLA",
        "authorized_official_first_name": "MUFUTAU",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "313-491-7450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301009873",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Choice Pharmacy",
            "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 Jan 27, 2016; 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.