Organization Active NPI

New Sav Max Pharmacy

Doing business as Sav Max Glory Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1982708947
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008458 Issued in MI
Legal business name
NEW SAV MAX PHARMACY
Doing business as
Sav Max Glory Pharmacy
Practice address
9731 Harper Ave
Detroit, MI 48213-2700
Phone
(313) 921-1002
Fax
(313) 921-1025
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Abdalla Faraj
Title
Pic
Phone
(313) 921-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301008458 MI Primary

Addresses

Primary practice location

9731 Harper Ave
Detroit, MI 48213-2700

Mailing address

9731 Harper Ave
Detroit, MI 48213-2700

Other identifiers 1

IdentifierTypeStateIssuer
2368721OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SAV MAX GLORY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

9731 Harper Ave
Detroit, MI 48213
Phone (313) 921-1002

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1982708947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482132700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482132700",
            "telephone_number": "313-921-1002",
            "fax_number": "313-921-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SAV MAX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "FARAJ",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "313-921-1002"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2368721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAV MAX GLORY 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 Jan 6, 2009; 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.