Woodward Place Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009102 Issued in MI

Legal business name

WOODWARD PLACE PHARMACY LLC

Practice address

15131 Woodward Ave
Highland Park, MI 48203-2907

Phone

(313) 957-0099

Fax

(313) 957-0032

NPI assigned

Apr 28, 2009

Organization subpart

No

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

Authorized official

Name

Sammi Omar, R.PH.

Title

Co-Owner

Phone

(313) 957-0099

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pharmor Pharmacy-Woodward Place Doing business as

Locations

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1780828210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15131 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "48203",
            "telephone_number": "313-957-0099",
            "fax_number": "313-957-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15131 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482032907",
            "telephone_number": "313-957-0099",
            "fax_number": "313-957-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD PLACE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "SAMMI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "313-957-0099",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120019",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmor Pharmacy-Woodward Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nedrae Nichelle Wilson
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• Earthy Winters, MA, LLPC
• Laketa Yvette Woods, C.N.A
• Joy N Wosu, CADC/CASAC, MPA, DCW
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• Temekia M Wyckoff
• Twannette Young

• Community/Retail Pharmacy in Highland Park, MI
• Providers in Highland Park, 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 Jul 19, 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.