Organization Active NPI

A L R Pharmcy Inc

  • Community/Retail Pharmacy
  • Dearborn Heights, MI
National Provider Identifier
1962452847
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301003476 Issued in MI
Legal business name
A L R PHARMCY INC
Practice address
25022 W Warren St
Dearborn Heights, MI 48127-2145
Phone
(313) 278-8620
Fax
(313) 278-8839
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Robert Stephen Komjathy, R. PH.
Title
President
Phone
(313) 278-8620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301003476 MI Primary

Addresses

Primary practice location

25022 W Warren St
Dearborn Heights, MI 48127-2145

Mailing address

25022 W Warren St
Dearborn Heights, MI 48127-2145
Phone (313) 278-8620

Other identifiers 2

IdentifierTypeStateIssuer
2536242MedicaidMI
2328664OtherMINCPDP ID NUMBER

Other names 1

  • MARSHALL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

25022 W Warren St
Dearborn Hts, MI 48127
Phone (313) 278-8620

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962452847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25022 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272145",
            "telephone_number": "313-278-8620",
            "fax_number": "313-278-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25022 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272145",
            "telephone_number": "313-278-8620",
            "fax_number": "313-278-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A L R PHARMCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KOMJATHY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-278-8620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301003476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2536242",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP ID NUMBER",
            "identifier": "2328664",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARSHALL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.