Organization Active NPI

Neighborhood Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1851493381
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008463 Issued in MI
Legal business name
NEIGHBORHOOD PHARMACY
Practice address
6508 Woodward Ave
Detroit, MI 48202-3240
Phone
(313) 870-9810
Fax
(313) 870-9812
NPI assigned
Sep 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Tameka Bacon, RPH
Title
Owner
Phone
(734) 649-0762

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 5301008463 MI Primary

Addresses

Primary practice location

6508 Woodward Ave
Detroit, MI 48202-3240

Mailing address

6508 Woodward Ave
Detroit, MI 48202-3240
Phone (313) 870-9810

Other identifiers 1

IdentifierTypeStateIssuer
2368694OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

6508 Woodward Ave
Detroit, MI 48202
Phone (313) 397-2575

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1851493381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023240",
            "telephone_number": "313-870-9810",
            "fax_number": "313-870-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023240",
            "telephone_number": "313-870-9810",
            "fax_number": "313-870-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-649-0762",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2368694",
            "state": null
        }
    ],
    "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 13, 2013; 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.