Organization Active NPI

My RX Pharmacy LLC

  • Community/Retail Pharmacy
  • Riverview, MI
National Provider Identifier
1962960971
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MY RX PHARMACY LLC
Practice address
17013 Fort St Ste 100
Riverview, MI 48193-6656
Phone
(734) 288-3750
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Mr. Mohamed K NasserNPI 1841948437
Title
Pharmacist
Phone
(734) 288-3750

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 Primary

Addresses

Primary practice location

17013 Fort St Ste 100
Riverview, MI 48193-6656

Mailing address

17013 Fort St Ste 100
Riverview, MI 48193-6656
Phone (734) 288-3750

National Provider Directory

National Provider Directory

Locations

17013 Fort St
Ste 100
Riverview, MI 48193
Phone (734) 288-3750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1962960971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17013 FORT ST STE 100",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481936656",
            "telephone_number": "734-288-3750",
            "fax_number": "734-288-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17013 FORT ST STE 100",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481936656",
            "telephone_number": "734-288-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "734-288-3750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.