New Atlas Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Detroit, MI. Organization (NPI-2).
Details
- NPI
- 1497409353
- Entity type
- Organization (NPI-2)
- Legal business name
- New Atlas Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2022
- Certification date
- Feb 10, 2022
- Last updated
- Feb 10, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- New Atlas Pharmacy (Doing Business As)
Practice location
2645 W DavisonDetroit, MI 48238-3494
Phone 313-334-5102 · Fax 313-334-5104
Mailing address
2645 W DavisonDetroit, MI 48238-3494
Phone 313-334-5102 · Fax 313-334-5104
Authorized official
Tahany Mohamed
President
3133345102
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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