Active NPI
5412 West Warren Drugs Inc.
- Community/Retail Pharmacy
- Detroit, MI
National Provider Identifier
1922058239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301004336
- Legal business name
- 5412 WEST WARREN DRUGS INC.
- Practice address
- 5412 W Warren Ave
Detroit, MI 48210-1217 - Phone
- (313) 894-4300
- Fax
- (313) 894-7170
- NPI assigned
- May 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Neil Franklin Tubben, R.PH.
- Title
- Manager
- Phone
- (313) 894-4300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301004336 | MI | Primary |
Addresses
Primary practice location
5412 W Warren Ave
Detroit, MI 48210-1217
Mailing address
5412 W Warren Ave
Detroit, MI 48210-1217
Phone (313) 894-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2340040 | Other | MI | NABP |
Other names 1
- Action Drugs #2
National Provider Directory
National Provider Directory- Tax ID family
- 5412 West Warren Drugs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1588733117
Locations
5412 W Warren Ave
Detroit, MI 48210
Phone (313) 894-4300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Detroit, MI
- NPI 1043618663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922058239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5412 W WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482101217",
"telephone_number": "313-894-4300",
"fax_number": "313-894-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5412 W WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482101217",
"telephone_number": "313-894-4300",
"fax_number": "313-894-7170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "5412 WEST WARREN DRUGS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TUBBEN",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "FRANKLIN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "313-894-4300",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301004336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "2340040",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Action Drugs #2",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.