Cobb Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301005815 Issued in MI

Legal business name

COBB PHARMACY

Doing business as

COBB SAVMOR PHARMACY

Practice address

4603 S Wayne Rd
Wayne, MI 48184-2310

Phone

(734) 728-6000

Fax

(734) 728-2400

NPI assigned

Aug 27, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Graham

Title

MGR Pharmacy Services

Phone

(248) 348-1570

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• COBB SAVMOR PHARMACY Doing business as

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1801904271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43155 W 9 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 S WAYNE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842310",
            "telephone_number": "734-728-6000",
            "fax_number": "734-728-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MGR PHARMACY SERVICES",
        "authorized_official_telephone_number": "248-348-1570"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301005815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2350875",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2350875",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COBB SAVMOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dipti Christian
• City of Wayne
• Cutrina Patrice Claxton
• Brieanna S Clay
• Jasmine Close, LLMSW-CLINICAL
• Donna La Jean Cobb, R.N.
• Lakeita Charmain Cobb, LMSW
• Sean Collicott, RN-BSN
• Jennifer Collins
• Leslie Collins, LBSW

• 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 Apr 15, 2008; 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.