Organization Active NPI

Alkamano Inc

Doing business as Noor Pharmacy

  • Community/Retail Pharmacy
  • Warren, MI
National Provider Identifier
1790893162
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301007175 Issued in MI
Legal business name
ALKAMANO INC
Doing business as
Noor Pharmacy
Practice address
4092 E 14 Mile Rd
Ste 200
Warren, MI 48092-4376
Phone
(586) 268-3900
Fax
(586) 268-0500
NPI assigned
Aug 27, 2006
Last updated
Jul 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Ihsan Alkamano, B.S PHARMACYNPI 1467538785
Title
President/Pic
Phone
(586) 268-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5301007175 MI Primary

Addresses

Primary practice location

4092 E 14 Mile Rd
Ste 200
Warren, MI 48092-4376

Mailing address

4092 E 14 Mile Rd
Ste 200
Warren, MI 48092-4376
Phone (586) 268-3900

Other identifiers 2

IdentifierTypeStateIssuer
2361020MedicaidMI
2044662OtherPK

Other names 1

  • NOOR PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930035944 MI DME Supplier - Pharmacy 8325259377 Practice locations: Warren, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2276213Alkamano, Inc Dba Noor Pharmacy4092 E 14 Mile Road Suite 200, Warren, MI 48092Certificate of waiverFeb 5, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alkamano Inc4092 E 14 Mile Rd, Warren, MI 48092-4376(586) 268-3900 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf|Urological Supplies|Surgical Dressings|D… Does not accept assignmentParticipating since Feb 22, 2005

National Provider Directory

National Provider Directory

Locations

4058 W Jefferson Ave
Ecorse, MI 48229
Phone (313) 928-2700

4092 E 14 Mile Rd
Ste 200
Warren, MI 48092
Phone (586) 268-3900

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": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1790893162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4092 E 14 MILE RD",
            "address_2": "STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924376",
            "telephone_number": "586-268-3900",
            "fax_number": "586-268-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4092 E 14 MILE RD",
            "address_2": "STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924376",
            "telephone_number": "586-268-3900",
            "fax_number": "586-268-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALKAMANO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "ALKAMANO",
        "authorized_official_first_name": "IHSAN",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "586-268-3900",
        "authorized_official_credential": "B.S PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2361020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2044662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.