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STATE PHARMACY
NPI 1154610558
Pharmacy - Community/Retail Pharmacy in Detroit, MI

Active since April 06, 2011
4501 WOODWARD AVE STE 104A, DETROIT, MI 48201(313) 832-4970 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About State Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE PHARMACY (NPI 1154610558) is a healthcare organization registered as a community/retail pharmacy in Detroit, Michigan and active in the NPI registry since April 2011. The organization lists Khushboo Patel, President, as its authorized official.

NPPES Registry Identity

NPI1154610558
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSTATE PHARMACY
Location Address4501 WOODWARD AVE STE 104ADetroit, MI 48201-1890
Mailing Address4501 Woodward Ave Ste 104aDetroit, MI 48201-1890
Phone(313) 832-4970
Organization SubpartNo
Authorized OfficialKhushboo PatelPresident · (810) 280-7293
Enumeration DateApril 6, 2011
✔ NPI 1154610558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301009540
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4501 WOODWARD AVE STE 104A, Detroit, MI 48201
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Pharmacy's NPI number?

The NPI number for State Pharmacy is 1154610558. It was assigned to this organization in the NPPES registry on April 6, 2011.

Where is State Pharmacy located?

State Pharmacy is located at 4501 Woodward Ave Ste 104A, Detroit, MI 48201. The listed phone number is (313) 832-4970.

What is State Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for State Pharmacy was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.