Organization Active NPI

Hoover Pharmacy LLC

Doing business as Hoover Pharmacy

  • Community/Retail Pharmacy
  • Hamtramck, MI
National Provider Identifier
1922395540
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009633 Issued in MI
Legal business name
HOOVER PHARMACY LLC
Doing business as
Hoover Pharmacy
Practice address
2930 Holbrook St
Hamtramck, MI 48212-3512
Phone
(313) 870-9703
Fax
(313) 870-9702
NPI assigned
Jul 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Noaman Nagi
Title
President
Phone
(313) 971-8681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009633 MI Primary

Addresses

Primary practice location

2930 Holbrook St
Hamtramck, MI 48212-3512

Mailing address

2930 Holbrook St
Hamtramck, MI 48212-3512
Phone (313) 870-9703

Other identifiers 2

IdentifierTypeStateIssuer
2131050OtherPK
1922395540MedicaidMI

Other names 1

  • HOOVER 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": "1309651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1922395540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 HOLBROOK ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123512",
            "telephone_number": "313-870-9703",
            "fax_number": "313-870-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HOLBROOK ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123512",
            "telephone_number": "313-870-9703",
            "fax_number": "313-870-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOVER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-03",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "NAGI",
        "authorized_official_first_name": "NOAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-971-8681"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922395540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOOVER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.