Organization Active NPI

Joy Dex Pharmacy

  • Pharmacist
  • Detroit, MI
National Provider Identifier
1972611341
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5315016501 Issued in MI
Legal business name
JOY DEX PHARMACY
Practice address
3418 Joy Rd
Detroit, MI 48206-1949
Phone
(313) 894-2250
Fax
(313) 894-2910
NPI assigned
Aug 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Munir Awn
Title
Pharmacist/Owner
Phone
(313) 894-2250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5315016501 MI Primary
Community/Retail Pharmacy 3336C0003X 5301007832 MI

Addresses

Primary practice location

3418 Joy Rd
Detroit, MI 48206-1949

Mailing address

3418 Joy Rd
Detroit, MI 48206-1949
Phone (313) 894-2250

Other identifiers 2

IdentifierTypeStateIssuer
2365585OtherOTHER ID NUMBER
2365585MedicaidMI

Other names 1

  • JOY DEX PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3418 Joy Rd
Detroit, MI 48206
Phone (313) 894-2250

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1972611341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 JOY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061949",
            "telephone_number": "313-894-2250",
            "fax_number": "313-894-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 JOY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061949",
            "telephone_number": "313-894-2250",
            "fax_number": "313-894-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY DEX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "AWN",
        "authorized_official_first_name": "MUNIR",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "313-894-2250"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315016501",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2365585",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2365585",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOY DEX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.