Active NPI
Neighborhood Pharmacy
- Community/Retail Pharmacy
- Detroit, MI
National Provider Identifier
1851493381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008463
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2368694 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.