Detroit Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007942 Issued in MI

Legal business name

DETROIT PHARMACY

Practice address

18925 Grand River Ave
Detroit, MI 48223-2273

Phone

(313) 272-1400

Fax

(313) 272-3816

NPI assigned

Dec 6, 2006

Last updated

Dec 18, 2007By 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

Mr. Ibrahim A Chami, RPHNPI 1548720204

Title

Owner Phcst

Phone

(734) 262-4600

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ibrahim A. Chami, R.PH

  • Pharmacist
  • Detroit, MI
  • NPI 1548720204
  Authorized official Same address or phone

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1932268034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530815",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481530815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18925 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232273",
            "telephone_number": "313-272-1400",
            "fax_number": "313-272-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "CHAMI",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "734-262-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Detroit Power Detroit Community Outreach
• Detroit Power Detroit Community Outreach
• Detroit Power Detroit Community Outreach
• Detroit Public Schools
• Detroit Public Schools Community District

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Dec 18, 2007; 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.