Organization Active NPI

Nile Family Pharmacy LLC

Doing business as Nile Family Pharmacy

  • Community/Retail Pharmacy
  • Niles, MI
National Provider Identifier
1902105034
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009530 Issued in MI
Legal business name
NILE FAMILY PHARMACY LLC
Doing business as
Nile Family Pharmacy
Practice address
70 E. State St.
Niles, MI 49120
Phone
(269) 683-1400
Fax
(269) 683-1402
NPI assigned
Mar 15, 2011
Last updated
Jul 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Aiman Kawas
Title
Owner
Phone
(269) 683-1400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5301009530 MI Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

70 E. State St.
Niles, MI 49120

Mailing address

PO Box 5157
Dearborn, MI 48128-0157
Phone (269) 683-1400

Other identifiers 1

IdentifierTypeStateIssuer
2129509OtherPK

Other names 1

  • Nile Family Pharmacy 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": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1902105034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5157",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481280157",
            "telephone_number": "269-683-1400",
            "fax_number": "269-683-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E. STATE ST.",
            "city": "NILES",
            "state": "MI",
            "postal_code": "49120",
            "telephone_number": "269-683-1400",
            "fax_number": "269-683-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "KAWAS",
        "authorized_official_first_name": "AIMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-683-1400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009530",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129509",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nile Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.