Saint Clair Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAINT CLAIR FAMILY PHARMACY LLC

Practice address

28001 Harper Ave.
Saint Clair Shores, MI 48081

Phone

(586) 871-2727

Fax

(586) 871-2412

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Adham Mallah

Title

Owner/President

Phone

(313) 478-7823

Specialties & licenses 1

Addresses

Other names 1

• LIFESMART RX PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1750865416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28001 HARPER AVE.",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-871-2727",
            "fax_number": "586-871-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28001 HARPER AVE.",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-871-2727",
            "fax_number": "586-871-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CLAIR FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "MALLAH",
        "authorized_official_first_name": "ADHAM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "313-478-7823"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFESMART RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moutamn Sadoun, M.D.
• Erica Sagese
• David James Saglimbene, D.D.S.
• Mohammed Sahly, MD
• Sailaja Datla MD PLC
• Saint Clair Shores Pharmacy LLC
• Saint Clair Shores Prompt Care PLLC
• Monika Saladiak, LPC
• Isabella Salas, BEHAVIOR TECHNICIAN
• Reina O Salazar, MD

• Community/Retail Pharmacy in Saint Clair Shores, MI
• Providers in Saint Clair Shores, 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 Nov 21, 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.