Active NPI
Sobh RX LLC
Doing business as Park Place Pharmacy of Taylor
- Community/Retail Pharmacy
- Taylor, MI
National Provider Identifier
1881857639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008973
- Legal business name
- SOBH RX LLC
- Doing business as
- Park Place Pharmacy of Taylor
- Practice address
- 12701 Telegraph Rd
Ste 101a
Taylor, MI 48180-6847 - Phone
- (734) 225-8010
- Fax
- (734) 225-8011
- NPI assigned
- Jul 2, 2008
- Last updated
- Dec 22, 2010
- 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
- Mohamad Sobh
- Title
- Pic/Officer
- Phone
- (313) 622-0432
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301008973 | MI | Primary |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
12701 Telegraph Rd
Ste 101a
Taylor, MI 48180-6847
Mailing address
6767 Whitefield St
Dearborn Heights, MI 48127-4711
Phone (313) 622-0432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2371906 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Park Place Pharmacy of Taylor
National Provider Directory
National Provider DirectoryLocations
12701 Telegraph Rd
Ste 101A
Taylor, MI 48180
Phone (734) 225-8010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292976000000",
"number": "1881857639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 WHITEFIELD ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481274711",
"telephone_number": "313-622-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12701 TELEGRAPH RD",
"address_2": "STE 101A",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806847",
"telephone_number": "734-225-8010",
"fax_number": "734-225-8011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOBH RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2010-12-22",
"status": "A",
"authorized_official_last_name": "SOBH",
"authorized_official_first_name": "MOHAMAD",
"authorized_official_title_or_position": "PIC/OFFICER",
"authorized_official_telephone_number": "313-622-0432"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301008973",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2371906",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Place Pharmacy of Taylor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.