Organization Active NPI

Market Pharmacy LLC

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1902196033
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARKET PHARMACY LLC
Practice address
12715 W Warren Ave
Dearborn, MI 48126-1530
Phone
(248) 931-1319
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mr. Tarick N Iqal
Title
President
Phone
(248) 931-1319

Specialties & licenses 1

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

Addresses

Primary practice location

12715 W Warren Ave
Dearborn, MI 48126-1530

Mailing address

12715 W Warren Ave
Dearborn, MI 48126-1530
Phone (248) 931-1319

National Provider Directory

National Provider Directory

Locations

12715 W Warren Ave
Dearborn, MI 48126
Phone (248) 931-1319

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1902196033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12715 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261530",
            "telephone_number": "248-931-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12715 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261530",
            "telephone_number": "248-931-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "IQAL",
        "authorized_official_first_name": "TARICK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-931-1319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.