Souzan Tarraf PLLC (Dba Southfield Scripts)

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011117 Issued in MI

Legal business name

SOUZAN TARRAF PLLC (DBA SOUTHFIELD SCRIPTS)

Doing business as

Southfield Scripts

Practice address

17330 Northland Park CT
Suite 101
Southfield, MI 48075

Phone

(248) 621-9149

Fax

(248) 621-9150

NPI assigned

Dec 9, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Souzan Tarraf, PHARM D

Title

Owner/Pharmacist

Phone

(313) 231-7262

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Southfield Scripts Doing business as

Locations

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992249916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK COURT",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-621-9149",
            "fax_number": "248-621-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK CT",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-621-9149",
            "fax_number": "248-621-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUZAN TARRAF PLLC (DBA SOUTHFIELD SCRIPTS)",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TARRAF",
        "authorized_official_first_name": "SOUZAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "313-231-7262",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southfield Scripts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southfield Scripts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Southfield, MI
• Providers in Southfield, 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 Jul 21, 2022; 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.