Warren Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WARREN FAMILY PHARMACY LLC

Practice address

29156 Hoover Rd
Warren, MI 48093-3476

Phone

(586) 806-5553

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Isaiah Okoh, RPHNPI 1417176751

Title

Pic

Phone

(586) 806-5553

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.

• Isaiah Etuonu Okoh, R.PH.

  • Pharmacist
  • Detroit, MI
  • NPI 1417176751
  NPD Authorized official

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1891337804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29156 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933476",
            "telephone_number": "586-806-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29156 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933476",
            "telephone_number": "586-806-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "OKOH",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "586-806-5553",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Warren, MI
• Providers in Warren, 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 Jan 24, 2021; 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.