Big D Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009518 Issued in MI

Legal business name

BIG D CORP

Practice address

19460 Grand River Ave
Detroit, MI 48223-1200

Phone

(313) 533-0560

Fax

(313) 533-0568

NPI assigned

Feb 28, 2011

Organization subpart

No

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

Authorized official

Name

Michael Dytri

Title

President

Phone

(586) 598-4650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Friendly Pharmacy Doing business as

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1750688784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O CHRISTOPHER PENCAK PC",
            "address_2": "27322 23 MILE RD. STE. 7",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48051",
            "telephone_number": "586-598-4650",
            "fax_number": "586-598-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19460 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231200",
            "telephone_number": "313-533-0560",
            "fax_number": "313-533-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG D CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "DYTRI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-598-4650"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2375207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendly Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Kathryn Bicknell
• Kurt Michael Biebuyck, PHYSICAL THERAPIST
• Janine Bieda, CNM
• Melanie Ann Bieganski
• Brenda Bierenga, FNP, BC
• Big Hearts Gentle Hands Home Health Care LLC
• Big Smile Mobile Hygiene Clinic
• Emily Bigas, PA-C
• Margaret Mary Biglin, R.PH.
• Mohammad Azfar Bilal, M.D

• 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 Aug 29, 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.