Obama Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OBAMA PHARMACY LLC

Doing business as

pure care pharmacy

Practice address

18400 Plymouth Rd
Detroit, MI 48228-1126

Phone

(313) 837-2000

Fax

(313) 837-2003

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Garry NG, RPH

Title

Pharmacist

Phone

(313) 837-2000

Specialties & licenses 1

Addresses

Other names 1

• pure care pharmacy Doing business as

Locations

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1871839944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281126",
            "telephone_number": "734-250-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281126",
            "telephone_number": "313-837-2000",
            "fax_number": "313-837-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBAMA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-837-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pure care pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jun 8, 2016; 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.