Active NPI
Harbour Town Pharmacy LLC
- Pharmacy
- Detroit, MI
National Provider Identifier
1811723927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- HARBOUR TOWN PHARMACY LLC
- Practice address
- 3378 E Jefferson Ave
Detroit, MI 48207-4236 - Phone
- (248) 688-8688
- NPI assigned
- Sep 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alpesh Barot
- Title
- Organizer
- Phone
- (248) 688-8688
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
3378 E Jefferson Ave
Detroit, MI 48207-4236
Mailing address
17629 Lake View Cir
Northville, MI 48168-8510
Phone (248) 688-8688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250718000304 | MI | Part B Supplier - Pharmacy | 8921514902 | Practice locations: Detroit, MI |
National Provider Directory
National Provider DirectoryLocations
3378 E Jefferson Ave
Detroit, MI 48207
Phone (248) 688-8688
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Detroit, MI
- NPI 1679716393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1811723927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17629 LAKE VIEW CIR",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481688510",
"telephone_number": "248-688-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3378 E JEFFERSON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074236",
"telephone_number": "248-688-8688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOUR TOWN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "BAROT",
"authorized_official_first_name": "ALPESH",
"authorized_official_title_or_position": "ORGANIZER",
"authorized_official_telephone_number": "248-688-8688"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.