Organization Active NPI

Detroit Hoover Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1770162331
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DETROIT HOOVER PHARMACY LLC
Practice address
11538 East Seven Miles Road
Detroit, MI 48234-4835
Phone
(586) 354-5909
NPI assigned
Apr 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Mr. Usman Ahmad
Title
Pharmacy Manager
Phone
(586) 354-5909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

11538 East Seven Miles Road
Detroit, MI 48234-4835

Mailing address

4877 Catalina Dr
Lake Orion, MI 48359-2434
Phone (586) 354-5909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1770162331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4877 CATALINA DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483592434",
            "telephone_number": "586-354-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11538 EAST SEVEN MILES ROAD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482344835",
            "telephone_number": "586-354-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT HOOVER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "USMAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "586-354-5909",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2021; 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.