Wayne City Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009019 Issued in MI

Legal business name

WAYNE CITY PHARMACY LLC

Doing business as

Pharmor Pharmacy- Wayne City

Practice address

4811 Venoy Rd
Wayne, MI 48184-2675

Phone

(734) 326-6600

Fax

(734) 326-1270

NPI assigned

Dec 18, 2008

Last updated

Mar 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hail Abdullah, RPH

Title

Chief Pharmacist & Owner

Phone

(734) 326-6600

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Pharmor Pharmacy- Wayne City Doing business as

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1790921955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842675",
            "telephone_number": "734-326-6600",
            "fax_number": "734-326-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE CITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "HAIL",
        "authorized_official_title_or_position": "CHIEF PHARMACIST & OWNER",
        "authorized_official_telephone_number": "734-326-6600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009019",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2372213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmor Pharmacy- Wayne City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eugenia Ann Ward, MA LLP LMSW
• Warm Hearted Home Care Services
• Michael Warmuskerken, OD
• Stacey M Washington
• Tara Melissa Way, PA-C
• Wayne County Health Department
• Wayne County Regional Educational Service Agency
• Wayne County Treasurer Payroll (Wayne County Health Department)
• Wayne County Treasurer Payroll-County of Wayne
• Wayne Family Dental Association PC

• Community/Retail Pharmacy in Wayne, MI
• Providers in Wayne, 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 Mar 20, 2009; 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.