OrganizationActive
State Pharmacy
NPI 1154610558 · Community/Retail Pharmacy · Detroit, MI
State Pharmacy is a Community/Retail Pharmacy organization in Detroit, MI (NPI 1154610558).
Provider details
- NPI number
- 1154610558
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Khushboo Patel, President(810) 280-7293
- License
- 5301009540 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4501 Woodward Ave Ste 104a
Detroit, MI 48201-1890
Phone: (313) 832-4970
Street-level locationGet directions
Mailing address
4501 Woodward Ave Ste 104a
Detroit, MI 48201-1890
Registry dates
- Enumerated
- 2011-04-06
- Last updated
- 2011-04-06
Frequently asked questions
- What is State Pharmacy's NPI number?
- State Pharmacy's National Provider Identifier (NPI) is 1154610558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State Pharmacy?
- State Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is State Pharmacy located?
- State Pharmacy's practice location on file with NPPES is 4501 Woodward Ave Ste 104a, Detroit, MI 48201-1890.
- What is State Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for State Pharmacy is (313) 832-4970.
- Who is the authorized official for State Pharmacy?
- The authorized official listed on State Pharmacy's NPPES record is Khushboo Patel, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State Pharmacy's NPI active?
- Yes — State Pharmacy's NPI (1154610558) is active in the NPPES registry as of the last update on 2011-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.