Active NPI
Ford Campus Pharmacy LLC
- Community/Retail Pharmacy
- Detroit, MI
National Provider Identifier
1881878486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008762
- 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 DirectoryLocations
2699 W Grand Blvd
Detroit, MI 48208
Phone (313) 875-9000
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301008762 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2043559 | Other | PK | |
| 1881878486 | Medicaid | MI |
Other names 1
NPPES NPI Registry- PHARMOR PHARMACY - FORD CAMPUS PHARMACY
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.