NPIMap

Organization Active NPI

Crescent Pharmacy, L.L.C.

  • Pharmacist
  • Detroit, MI
National Provider Identifier
1790075919
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
CRESCENT PHARMACY, L.L.C.
Practice address
18250 W Warren Ave
Detroit, MI 48228-3427
Phone
(313) 443-2004
NPI assigned
Apr 8, 2011
Last updated
Apr 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Abir BarakatNPI 1679171805
Title
Owner
Phone
(313) 443-2004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X Primary

Addresses

Primary practice location

18250 W Warren Ave
Detroit, MI 48228-3427

Mailing address

18250 W Warren Ave
Detroit, MI 48228-3427
Phone (313) 443-2004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1790075919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283427",
            "telephone_number": "313-443-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283427",
            "telephone_number": "313-443-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "BARAKAT",
        "authorized_official_first_name": "ABIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-443-2004"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "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 Apr 8, 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.