Doctors Medical Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009084 Issued in MI

Legal business name

DOCTORS MEDICAL PHARMACY LLC

Doing business as

Pharmor Pharmacy-Doctors

Practice address

3169 Woodward Ave
Detroit, MI 48201-2723

Phone

(313) 832-4810

Fax

(313) 832-4812

NPI assigned

Mar 30, 2009

Last updated

Mar 16, 2017By 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

Mohamed Sohoubah, RPH

Title

Owner

Phone

(248) 663-3380

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pharmor Pharmacy-Doctors Doing business as

Tax ID family

Doctors Medical Pharmacy LLC2 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.

• Doctors Medical Pharmacy LLC

  dba Pharmor Pharmacy-Doctors

  • Long Term Care Pharmacy
  • Detroit, MI
  • NPI 1679373096
  NPD tax ID

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.

• Nikita Willis

  • Pharmacist
  • Detroit, MI
  • NPI 1073000485
  NPD (past)

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1811139496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012723",
            "telephone_number": "313-832-4810",
            "fax_number": "313-832-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012723",
            "telephone_number": "313-832-4810",
            "fax_number": "313-832-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "SOHOUBAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-663-3380",
        "authorized_official_credential": "RPH"
    },
    "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": "5301009084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811139496",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmor Pharmacy-Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helena Dobson
• Stephen Antonio Dobson
• Doctor Robot PLLC
• Doctors Home Care Management
• Doctors Medical Pharmacy LLC (Pharmor Pharmacy-Doctors)
• Doctors Prescription Pharmacy
• Ryan Robert Dodds, DO
• Andrea Anita Dodson, CPPS
• Diane Louise Dodson
• Holly Ann Dodt, NP

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 16, 2017; 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.