Active NPI
Sa2 Drugs
- Community/Retail Pharmacy
- Dearborn, MI
National Provider Identifier
1992747562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008005
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2366373 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 2366373 | Medicaid | MI |
Other names 1
- YOUR TELE PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Dearborn, MI
- NPI 1497936637
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.