Organization Active NPI

Sa2 Drugs

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1992747562
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008005 Issued in MI
Legal business name
SA2 DRUGS
Practice address
3159 S Telegraph Rd
Dearborn, MI 48124-3242
Phone
(313) 278-3000
Fax
(313) 278-4622
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Amit Patel
Title
Member
Phone
(313) 278-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301008005 MI Primary

Addresses

Primary practice location

3159 S Telegraph Rd
Dearborn, MI 48124-3242

Mailing address

3159 S Telegraph Rd
Dearborn, MI 48124-3242
Phone (313) 278-3000

Other identifiers 2

IdentifierTypeStateIssuer
2366373OtherNCPDP PROVIDER IDENTIFICATION NUMBER
2366373MedicaidMI

Other names 1

  • YOUR TELE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3159 S Telegraph Rd
Dearborn, MI 48124
Phone (313) 278-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1992747562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 S TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243242",
            "telephone_number": "313-278-3000",
            "fax_number": "313-278-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 S TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243242",
            "telephone_number": "313-278-3000",
            "fax_number": "313-278-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA2 DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-278-3000"
    },
    "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": "5301008005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2366373",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366373",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUR TELE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.