Pharmachoice Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301011040 Issued in MI

Legal business name

PHARMACHOICE INC

Practice address

15635 W Warren Ave
Detroit, MI 48228-3733

Phone

(313) 581-6000

Fax

(313) 581-6600

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Fahman Abdo Elmathil

Title

Owner

Phone

(313) 581-6000

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1790135671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15635 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283733",
            "telephone_number": "313-581-6000",
            "fax_number": "313-581-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15635 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283733",
            "telephone_number": "313-581-6000",
            "fax_number": "313-581-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACHOICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "ELMATHIL",
        "authorized_official_first_name": "FAHMAN",
        "authorized_official_middle_name": "ABDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-581-6000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MI",
            "license": "5301011040",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301011040",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.