Active NPI
Preferred Specialty Pharmacy and Home Infusion
- Community/Retail Pharmacy
- Detroit, MI
National Provider Identifier
1982861514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2371209 | Other | OTHER ID NUMBER |
Other names 1
- PREFERRED SPECIALTY PHARMACY AND HOME INFUSION
National Provider Directory
National Provider Directory- Tax ID family
- Preferred Speciality Pharmacy Home Infusion
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1427250208
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.