Organization Active NPI

Preferred Specialty Pharmacy and Home Infusion

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1982861514
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PREFERRED SPECIALTY PHARMACY AND HOME INFUSION
Practice address
16633 Livernois Ave
Ste 3
Detroit, MI 48221-3098
Phone
(313) 864-9000
Fax
(313) 864-9005
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Jason Dixon
Title
Pres
Phone
(313) 864-9000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X 1188219 MI

Addresses

Primary practice location

16633 Livernois Ave
Ste 3
Detroit, MI 48221-3098

Mailing address

16633 Livernois Ave
Ste 3
Detroit, MI 48221-3098

Other identifiers 1

IdentifierTypeStateIssuer
2371209OtherOTHER ID NUMBER

Other names 1

  • PREFERRED SPECIALTY PHARMACY AND HOME INFUSION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Preferred Speciality Pharmacy Home Infusion2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16633 Livernois Ave
Ste 3
Detroit, MI 48221
Phone (313) 864-9000

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1982861514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 LIVERNOIS AVE",
            "address_2": "STE 3",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 LIVERNOIS AVE",
            "address_2": "STE 3",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213098",
            "telephone_number": "313-864-9000",
            "fax_number": "313-864-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED SPECIALTY PHARMACY AND HOME INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "313-864-9000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MI",
            "license": "1188219",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2371209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREFERRED SPECIALTY PHARMACY AND HOME INFUSION",
            "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 Nov 5, 2008; 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.