NPIMap

Organization Active NPI

East River Associates LLC

  • Community/Retail Pharmacy
  • Southgate, MI
National Provider Identifier
1891969911
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008855 Issued in MI
Legal business name
EAST RIVER ASSOCIATES LLC
Practice address
13101 Allen Road
Suite 511
Southgate, MI 48195
Phone
(734) 374-2335
Fax
(734) 374-2339
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Mr. Charles W Hastings, RPH
Title
President
Phone
(734) 558-1567

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301008855 MI
Community/Retail Pharmacy 3336C0003X 5301008855 MI Primary

Addresses

Primary practice location

13101 Allen Road
Suite 511
Southgate, MI 48195

Mailing address

13101 Allen Road
Suite 511
Southgate, MI 48195
Phone (734) 374-2335

Other identifiers 2

IdentifierTypeStateIssuer
2371069OtherOTHER ID NUMBER
2371069MedicaidMI

Other names 1

  • SAV- MOR #100 Doing business as

National Provider Directory

National Provider Directory

Locations

13101 Allen Rd
Ste 511
Southgate, MI 48195
Phone (734) 374-2335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1891969911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 ALLEN ROAD",
            "address_2": "SUITE 511",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "48195",
            "telephone_number": "734-374-2335",
            "fax_number": "734-374-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 ALLEN ROAD",
            "address_2": "SUITE 511",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "48195",
            "telephone_number": "734-374-2335",
            "fax_number": "734-374-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RIVER ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-558-1567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008855",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2371069",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2371069",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAV- MOR #100",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.