WESTSIDE PHARMACY OF DETROIT, INC
NPI 1427050129
Pharmacy in Detroit, MI

Active since August 11, 2005
10600 W MCNICHOLS RD, DETROIT, MI 48221(313) 342-1555(313) 342-2120 Get Directions Write a Review

NPPES record last updated: March 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Westside Pharmacy Of Detroit, Inc NPPES

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

WESTSIDE PHARMACY OF DETROIT, INC (NPI 1427050129) is a healthcare organization registered as a pharmacy in Detroit, Michigan and active in the NPI registry since August 2005. The organization lists Renardo Gray, President, as its authorized official.

NPPES Registry Identity

NPI1427050129
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWESTSIDE PHARMACY OF DETROIT, INC
Location Address10600 W MCNICHOLS RDDetroit, MI 48221-2366
Mailing Address10600 W Mcnichols RdDetroit, MI 48221-2366 · (313) 342-1555 · Fax (313) 342-2120
Fax(313) 342-2120
Organization SubpartNo
Authorized OfficialRenardo GrayPresident · (313) 342-1555
Enumeration DateAugust 11, 2005
Last NPPES UpdateMarch 3, 2009
NPI 1427050129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MI · 004296
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
10600 W MCNICHOLS RD, Detroit, MI 48221

Other Identifiers 3

Medicaid1978150MI
Medicare NSC0672090001MI
Medicaid1685936MI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
10600 W MCNICHOLS RD
DETROIT, MI 48221
Pharmacist
10600 W MCNICHOLS RD
DETROIT, MI 48221

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 Westside Pharmacy Of Detroit, Inc's NPI number?

The NPI number for Westside Pharmacy Of Detroit, Inc is 1427050129. It was assigned to this organization in the NPPES registry on August 11, 2005.

Where is Westside Pharmacy Of Detroit, Inc located?

Westside Pharmacy Of Detroit, Inc is located at 10600 W Mcnichols Rd, Detroit, MI 48221. The listed phone number is (313) 342-1555.

What is Westside Pharmacy Of Detroit, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Westside Pharmacy Of Detroit, Inc was last updated on March 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.