Active NPI
Chirag Sompura, PHARMACIST
- Pharmacist
- Detroit, MI
National Provider Identifier
1952687311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302039856
- Practice address
- 19800 Plymouth Rd
Detroit, MI 48228-1234 - Phone
- (313) 273-9219
- Fax
- (423) 468-3180
- NPI assigned
- Oct 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35548 | TN | |
| Pharmacist | 183500000X | 5302039856 | MI | Primary |
| Pharmacist | 183500000X | 56348 | TX |
Addresses
Primary practice location
19800 Plymouth Rd
Detroit, MI 48228-1234
Mailing address
19222 Northridge Dr
Northville, MI 48167-2271
Phone (201) 736-4154
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35548 | Other | TN | PHARMACIST |
| 5302039856 | Other | MI | PHARMACIST |
| 56348 | Other | TX | PHARMACIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302039856 | MI | MD | Pharmacist |
| 56348 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1952687311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19222 NORTHRIDGE DR",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481672271",
"telephone_number": "201-736-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19800 PLYMOUTH RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482281234",
"telephone_number": "313-273-9219",
"fax_number": "423-468-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMPURA",
"first_name": "CHIRAG",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-31",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "35548",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302039856",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "56348",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "35548",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "5302039856",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "56348",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.