Amp Pharmacy Services

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

AMP PHARMACY SERVICES

Practice address

1629 S Merriman Rd
Suite a
Westland, MI 48186-5301

Phone

(734) 729-5253

Fax

(734) 405-2306

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Pierce

Title

Owner

Phone

(734) 729-5253

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GREAT LAKES PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1023031002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 S MERRIMAN RD",
            "address_2": "SUITE A",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 S MERRIMAN RD",
            "address_2": "SUITE A",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865301",
            "telephone_number": "734-729-5253",
            "fax_number": "734-405-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMP PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-729-5253"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008307",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2367995",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2367995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT LAKES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nakia R Anderson, COUNSELOR
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• All providers in Westland, MI
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.