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

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, RPH

Title

Owner Phcst

Phone

(734) 262-4600

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2366107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2366107",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366107",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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.