NPIMap

Organization Active NPI

Pointe Dort Pharmacy,PLLC

Doing business as Pointe Dort Pharmacy

  • Community/Retail Pharmacy
  • Flint, MI
National Provider Identifier
1952807588
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009732 Issued in MI
Legal business name
POINTE DORT PHARMACY,PLLC
Doing business as
Pointe Dort Pharmacy
Practice address
2700 Robert T Longway Blvd Ste B
Flint, MI 48503-2190
Phone
(810) 280-0103
NPI assigned
Apr 3, 2018
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Abusufian EltahirNPI 1669818183
Title
Pharmacy Manager
Phone
(810) 280-0103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009732 MI Primary

Addresses

Primary practice location

2700 Robert T Longway Blvd Ste B
Flint, MI 48503-2190

Mailing address

5494 S Dort Hwy
Flint, MI 48507-4483
Phone (810) 280-0103

Other identifiers 1

IdentifierTypeStateIssuer
5301009732OtherMIPHARMACY

Other names 1

  • POINTE DORT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1952807588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5494 S DORT HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074483",
            "telephone_number": "810-280-0103",
            "fax_number": "810-866-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ROBERT T LONGWAY BLVD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032190",
            "telephone_number": "810-280-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE DORT PHARMACY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "ELTAHIR",
        "authorized_official_first_name": "ABUSUFIAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "810-280-0103"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "5301009732",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POINTE DORT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POINTE DORT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.