Levan Medical Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009050 Issued in MI

Legal business name

LEVAN MEDICAL PHARMACY LLC

Practice address

15132 Levan Rd
Ste 32
Livonia, MI 48154-5027

Phone

(734) 462-8005

Fax

(734) 462-8009

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Mustapha Hussein, RPH

Title

Member

Phone

(734) 462-8005

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Levan Medical Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1972741262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15132 LEVAN RD",
            "address_2": "STE 32",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-462-8005",
            "fax_number": "734-462-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15132 LEVAN RD",
            "address_2": "STE 32",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-462-8005",
            "fax_number": "734-462-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVAN MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "MUSTAPHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-462-8005",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009050",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2372376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levan Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Livonia, MI
• Providers in Livonia, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.