NPIMap

Organization Active NPI

Western Wayne Pharmacy LLC

  • Community/Retail Pharmacy
  • Inkster, MI
National Provider Identifier
1962850248
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010913 Issued in MI
Legal business name
WESTERN WAYNE PHARMACY LLC
Practice address
2700 Hamlin Blvd
Inkster, MI 48141-2206
Phone
(313) 914-3434
Fax
(313) 914-3673
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Wahid Makki
Title
Owner, Ao
Phone
(313) 402-7663

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010913 MI Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2700 Hamlin Blvd
Inkster, MI 48141-2206

Mailing address

2700 Hamlin Blvd
Inkster, MI 48141-2206
Phone (313) 914-3434

Other identifiers 2

IdentifierTypeStateIssuer
1962850248MedicaidMI
2160269OtherPK

Other names 1

  • Western Wayne Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1962850248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HAMLIN BLVD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412206",
            "telephone_number": "313-914-3434",
            "fax_number": "313-914-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HAMLIN BLVD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412206",
            "telephone_number": "313-914-3434",
            "fax_number": "313-914-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WAYNE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "MAKKI",
        "authorized_official_first_name": "WAHID",
        "authorized_official_title_or_position": "OWNER,  AO",
        "authorized_official_telephone_number": "313-402-7663"
    },
    "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": "5301010913",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962850248",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Wayne Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Wayne Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inkster, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.