Physicians Pharmacy & Medical Supply LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008779 Issued in MI

Legal business name

PHYSICIANS PHARMACY & MEDICAL SUPPLY LLC

Practice address

40 E Alexandrine St
Detroit, MI 48201-2012

Phone

(313) 832-2050

Fax

(313) 832-2141

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Sammi Omar, RPH

Title

Owner President

Phone

(313) 330-2700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PHARMOR PHARMACY-PHYSICIANS Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fouad Omar

  • Pharmacist
  • Detroit, MI
  • NPI 1063903102
  NPD (past)
• Muhadia Rafi, PHARM.D

  • Pharmacist
  • Detroit, MI
  • NPI 1710597158
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1831223692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E ALEXANDRINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012012",
            "telephone_number": "313-832-2050",
            "fax_number": "313-832-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E ALEXANDRINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012012",
            "telephone_number": "313-832-2050",
            "fax_number": "313-832-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS PHARMACY & MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "SAMMI",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "313-330-2700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042054",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMOR PHARMACY-PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Valerie Pianga
• Catherine Anne Piaskowski, DDS
• Monika Piatek, M.D.

• 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 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.