Madison Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009979 Issued in MI

Legal business name

MADISON PHARMACY INC

Doing business as

Madison Pharmacy

Practice address

1385 E 12 Mile Rd
Ste 105
Madison Heights, MI 48071-2602

Phone

(248) 336-8900

Fax

(248) 336-9700

NPI assigned

Jan 16, 2008

Last updated

Jul 7, 2016By 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

Ameer Salman

Title

Owner

Phone

(248) 336-8900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Madison Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1790961118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 E 12 MILE RD",
            "address_2": "STE 105",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712602",
            "telephone_number": "248-336-8900",
            "fax_number": "248-336-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 E 12 MILE RD",
            "address_2": "STE 105",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712602",
            "telephone_number": "248-336-8900",
            "fax_number": "248-336-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "SALMAN",
        "authorized_official_first_name": "AMEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-336-8900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sohayla A. Mammo, D.D.S.
• Jevona N Maniex, EFDA, EFODA, MBA

• Community/Retail Pharmacy in Madison Heights, MI
• Providers in Madison Heights, 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 7, 2016; 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.