Active NPI
My RX Pharmacy LLC
- Community/Retail Pharmacy
- Riverview, MI
National Provider Identifier
1962960971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohamed K Nasser
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Riverview, MI
- NPI 1841948437
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.