Sav-Max Pharmacy-Mazen LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009202 Issued in MI

Legal business name

SAV-MAX PHARMACY-MAZEN LLC

Practice address

12740 Gratiot Ave
Detroit, MI 48205-3944

Phone

(313) 371-3300

Fax

(313) 371-3344

NPI assigned

Oct 27, 2009

Organization subpart

No

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

Authorized official

Name

Ismail Abuhanieh

Title

Owner

Phone

(313) 371-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sav-Max Pharmacy-Mazen Doing business as

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1982930954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053944",
            "telephone_number": "313-371-3300",
            "fax_number": "313-371-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053944",
            "telephone_number": "313-371-3300",
            "fax_number": "313-371-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAV-MAX PHARMACY-MAZEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "ABUHANIEH",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-371-3300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sav-Max Pharmacy-Mazen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas D Sautter, DO
• Lauren Sauve
• Sav Mart Pharmacy
• Sav-Mart Pharmacy Gratiot LLC
• Sav-Mart Pharmacy-Gratiot LLC
• Sav-Med Pharmacy Inc
• Amanda Marie Savage, MD
• Hezekiah Savage, NONE
• Joyce Savage, MSLLPC
• Melody Savage

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Sep 30, 2016; 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.