Active NPI
Pure Health Pharmacy LLC
- Community/Retail Pharmacy
- Clawson, MI
National Provider Identifier
1932649811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301011116
- Legal business name
- PURE HEALTH PHARMACY LLC
- Doing business as
- Pure Health Pharmacy LLC
- Practice address
- 560 W 14 Mile Rd
Clawson, MI 48017-1930 - Phone
- (248) 217-7329
- Fax
- (586) 920-2678
- NPI assigned
- Feb 27, 2017
- 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
- Hema Patel
- Title
- Owner
- Phone
- (248) 217-7329
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301011116 | MI | Primary |
Addresses
Primary practice location
560 W 14 Mile Rd
Clawson, MI 48017-1930
Mailing address
560 W 14 Mile Rd
Clawson, MI 48017-1930
Phone (248) 217-7329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2168148 | Other | PK |
Other names 1
- Pure Health Pharmacy LLC
National Provider Directory
National Provider Directory- Tax ID family
- Pure Health Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Clawson, MI
- NPI 1639927924
Locations
560 W 14 Mile Rd
Clawson, MI 48017
Phone (248) 280-0115
441 S Livernois Rd
Ste 160
Rochester Hills, MI 48307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689120000000",
"number": "1932649811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W 14 MILE RD",
"city": "CLAWSON",
"state": "MI",
"postal_code": "480171930",
"telephone_number": "248-217-7329",
"fax_number": "586-920-2678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W 14 MILE RD",
"city": "CLAWSON",
"state": "MI",
"postal_code": "480171930",
"telephone_number": "248-217-7329",
"fax_number": "586-920-2678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE HEALTH PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-27",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "HEMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-217-7329"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301011116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2168148",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pure Health Pharmacy LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pure Health Pharmacy LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clawson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.