Organization Active NPI

Holbrook Pharmacy LLC

  • Community/Retail Pharmacy
  • Hamtramck, MI
National Provider Identifier
1780228957
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOLBROOK PHARMACY LLC
Practice address
3301 Holbrook St
Hamtramck, MI 48212-3519
Phone
(313) 871-1010
Fax
(313) 871-1011
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Authorized official

Name
Ghazi Alsafari
Title
Owner
Phone
(313) 871-0101

Specialties & licenses 2

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

Addresses

Primary practice location

3301 Holbrook St
Hamtramck, MI 48212-3519

Mailing address

3301 Holbrook St
Hamtramck, MI 48212-3519
Phone (313) 871-1010

Other names 1

  • HOLBROOK PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200211001254 MI DME Supplier - Pharmacy 1850727819 Practice locations: Hamtramck, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Holbrook Pharmacy LLC3301 Holbrook St, Hamtramck, MI 48212-3519(313) 871-1010 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Dec 9, 2019

National Provider Directory

National Provider Directory

Locations

11350 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 742-2397

3301 Holbrook St
Hamtramck, MI 48212
Phone (313) 871-1010

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1780228957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 HOLBROOK ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123519",
            "telephone_number": "313-871-1010",
            "fax_number": "313-871-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 HOLBROOK ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123519",
            "telephone_number": "313-871-1010",
            "fax_number": "313-871-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLBROOK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "ALSAFARI",
        "authorized_official_first_name": "GHAZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-871-0101"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLBROOK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOLBROOK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.