Pharmascript of Michigan GR LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PHARMASCRIPT OF MICHIGAN GR LLC

Practice address

2661 29TH St. SE Suite a
Grand Rapids, MI 49512

Phone

(616) 947-3500

Fax

(616) 947-8643

NPI assigned

Jul 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shadia Turfah

Title

Owner

Phone

(313) 737-0691

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1013493733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 29TH ST. SE SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49512",
            "telephone_number": "616-947-3500",
            "fax_number": "616-947-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 29TH ST. SE SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49512",
            "telephone_number": "616-947-3500",
            "fax_number": "616-947-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMASCRIPT OF MICHIGAN GR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "TURFAH",
        "authorized_official_first_name": "SHADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-737-0691"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8224245643",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Grand Rapids, MI
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.