Icare Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010543 Issued in MI

Legal business name

ICARE PHARMACY LLC

Practice address

9607 Conant St
Hamtramck, MI 48212-3304

Phone

(313) 265-3808

Fax

(313) 265-3809

NPI assigned

Sep 4, 2014

Last updated

Feb 20, 2015By 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

Mrs. Jannath Ahmed

Title

Owner

Phone

(313) 645-0215

Specialties & licenses 1

Addresses

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.

• Mohammad Fokhrul Islam

  • Community/Retail Pharmacy
  • Hamtramck, MI
  • NPI 1518836022
  NPD (past)

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1871994210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9607 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123304",
            "telephone_number": "313-265-3808",
            "fax_number": "313-265-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9607 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123304",
            "telephone_number": "313-265-3808",
            "fax_number": "313-265-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "JANNATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-645-0215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Hamtramck, MI
• Providers in Hamtramck, 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 Feb 20, 2015; 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.