Noble Care Apothecary

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010756 Issued in MI

Legal business name

NOBLE CARE APOTHECARY

Doing business as

NCA Pharmacy

Practice address

7362 Highland Rd
Waterford, MI 48327-1508

Phone

(248) 461-6509

Fax

(248) 599-9266

NPI assigned

Jul 20, 2015

Last updated

Oct 4, 2024By 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

Dr. Shatha J Matti, PHARMDNPI 1750765798

Title

Pharmacy Managerowner

Phone

(248) 461-6509

Specialties & licenses 1

Addresses

Other names 1

• NCA Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Shatha Matti

  • Pharmacist
  • Waterford, MI
  • NPI 1750765798
  NPD Authorized official

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1841674868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271508",
            "telephone_number": "248-461-6509",
            "fax_number": "248-599-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271508",
            "telephone_number": "248-461-6509",
            "fax_number": "248-599-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE CARE APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "MATTI",
        "authorized_official_first_name": "SHATHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACY MANAGEROWNER",
        "authorized_official_telephone_number": "248-461-6509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Debra L Nieuwkoop, APRN, BC; NP-C
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• Community/Retail Pharmacy in Waterford, MI
• Providers in Waterford, 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 Oct 4, 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.