Organization Active NPI

Harbour Town Pharmacy LLC

  • Pharmacy
  • Detroit, MI
National Provider Identifier
1811723927
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Alpesh BarotNPI 1679716393
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20250718000304 MI Part B Supplier - Pharmacy 8921514902 Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.