Livernois Pharmacy Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

5315020661 Issued in MI

Legal business name

LIVERNOIS PHARMACY INC

Practice address

6240 Michigan Ave
Detroit, MI 48210-2953

Phone

(313) 361-6100

Fax

(313) 361-6116

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Elghoul Mostapha

Title

Pharmacist

Phone

(313) 361-6100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982747200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102953",
            "telephone_number": "313-361-6100",
            "fax_number": "313-361-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102953",
            "telephone_number": "313-361-6100",
            "fax_number": "313-361-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERNOIS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSTAPHA",
        "authorized_official_first_name": "ELGHOUL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-361-6100"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315020661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakeita La'Neice Lively, BSW
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• Livernois Express Pharmacy
• Livernois Family Medical SVC
• Livernois Family Pharmacy
• Jeanne Ann Livernois, AU.D.
• Livi Love LLC
• Living Life Adult Program LLC
• Living Life Counseling Services, LLC
• Living N My Space

• Pharmacist in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.