NPIMap

Organization Active NPI

Great Lakes Sav-Rite

  • Community/Retail Pharmacy
  • Lincoln Park, MI
National Provider Identifier
1881909869
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009398 Issued in MI
Legal business name
GREAT LAKES SAV-RITE
Practice address
1770 Fort St
Lincoln Park, MI 48146-1904
Phone
(313) 827-9999
Fax
(313) 827-0999
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Oussama Abdou
Title
Owner
Phone
(313) 827-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009398 MI Primary

Addresses

Primary practice location

1770 Fort St
Lincoln Park, MI 48146-1904

Mailing address

1770 Fort St
Lincoln Park, MI 48146-1904
Phone (313) 827-9999

Other identifiers 1

IdentifierTypeStateIssuer
2374471OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Great Lakes Sav-Rite Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1881909869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461904",
            "telephone_number": "313-827-9999",
            "fax_number": "313-827-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461904",
            "telephone_number": "313-827-9999",
            "fax_number": "313-827-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES SAV-RITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "ABDOU",
        "authorized_official_first_name": "OUSSAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-827-9999"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Sav-Rite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.