Warren Pharmacy RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WARREN PHARMACY RX LLC

Practice address

15210 W Warren Ave
Dearborn, MI 48126-1356

Phone

(313) 671-2411

NPI assigned

Mar 9, 2021

Last updated

Mar 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali Naserdean

Title

Owner

Phone

(313) 671-2411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1912592254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261356",
            "telephone_number": "313-671-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN PHARMACY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "NASERDEAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-671-2411"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Ward
• Keaton Ware, PA-C
• Kentrice Ware
• Mahjabeen Waris, MD
• David R Warner, RD
• Dashonta Warren
• Ebony Chauntae Warren
• Joseph L. Warren, D.O.
• Warrenfield Medical Center, P.C.
• Emily Rose Warrington

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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 Mar 9, 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.