Organization Active NPI

Stars Investment Inc

  • Community/Retail Pharmacy
  • Wayne, MI
National Provider Identifier
1932237864
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006869 Issued in MI
Legal business name
STARS INVESTMENT INC
Practice address
4020 Venoy Rd
Suite 900
Wayne, MI 48184-1869
Phone
(734) 729-2882
Fax
(734) 729-6546
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Mr. Hassan A Ismail
Title
Owner
Phone
(734) 729-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301006869 MI Primary

Addresses

Primary practice location

4020 Venoy Rd
Suite 900
Wayne, MI 48184-1869

Mailing address

4020 Venoy Rd
Suite 900
Wayne, MI 48184-1869

Other identifiers 2

IdentifierTypeStateIssuer
873513073MedicaidMI
540H21685OtherMIBCBSM DME

National Provider Directory

National Provider Directory

Locations

4020 Venoy Rd
Ste 200A
Wayne, MI 48184
Phone (734) 729-2882

4020 Venoy Rd
Ste 900
Wayne, MI 48184
Phone (734) 729-2882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1932237864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD",
            "address_2": "SUITE 900",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD",
            "address_2": "SUITE 900",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841869",
            "telephone_number": "734-729-2882",
            "fax_number": "734-729-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARS INVESTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-729-2882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873513073",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM DME",
            "identifier": "540H21685",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.