Heritage Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004312 Issued in MI

Legal business name

HERITAGE PHARMACY INC

Practice address

14709 Champaign Rd
Allen Park, MI 48101-1616

Phone

(313) 386-1200

Fax

(313) 386-0856

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

Manager Pharmacy Services

Phone

(248) 348-1570

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HERITAGE SAVMOR PHARMACY Doing business as

Tax ID family

Heritage Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heritage Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Allen Park, MI
  • NPI 1003086141
  NPD tax ID

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": "1811005283",
    "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": "14709 CHAMPAIGN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011616",
            "telephone_number": "313-386-1200",
            "fax_number": "313-386-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PHARMACY INC",
        "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": "MANAGER PHARMACY SERVICES",
        "authorized_official_telephone_number": "248-348-1570"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2339720",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339720",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERITAGE SAVMOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hearthaven Home Care LLC
• Heartland of Allen Park Mi, LLC
• Brigette Joanne Henderson
• Henry Ford Wyandotte Hospital
• Heritage Pharmacy Inc
• Kimberly R. Hillie, RN
• Michaela Hintgen, DDS
• Anand N Hiremath, MD
• Hofmann Chiropractic Clinic, P.C.
• John M Hofmann, D.C.

• Community/Retail Pharmacy in Allen Park, MI
• Providers in Allen Park, 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.