Organization Active NPI

Ford Campus Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1881878486
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008762 Issued in MI
Legal business name
FORD CAMPUS PHARMACY LLC
Practice address
2699 W Grand Blvd
Detroit, MI 48208-1233
Phone
(313) 875-9000
Fax
(313) 875-9099
NPI assigned
Dec 19, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ahmed Said, PHARM-D
Title
Owner
Phone
(313) 377-8876

National Provider Directory

National Provider Directory

Locations

2699 W Grand Blvd
Detroit, MI 48208
Phone (313) 875-9000

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301008762 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

2699 W Grand Blvd
Detroit, MI 48208-1233

Mailing address

2699 W Grand Blvd
Detroit, MI 48208-1233
Phone (313) 875-9000

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2043559OtherPK
1881878486MedicaidMI

Other names 1

NPPES NPI Registry
  • PHARMOR PHARMACY - FORD CAMPUS PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2016.

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1881878486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081233",
            "telephone_number": "313-875-9000",
            "fax_number": "313-875-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081233",
            "telephone_number": "313-875-9000",
            "fax_number": "313-875-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD CAMPUS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-377-8876",
        "authorized_official_credential": "PHARM-D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043559",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881878486",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMOR PHARMACY - FORD CAMPUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 4, 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.