NPIMap

Organization Active NPI

Rxperts Pharmacy Michigan LLC

  • Long Term Care Pharmacy
  • Plymouth, MI
National Provider Identifier
1023287422
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
64001242A Issued in IN
Legal business name
RXPERTS PHARMACY MICHIGAN LLC
Doing business as
RXPERTS PHARMACY MICHIGAN LLC
Practice address
9131 General CT
Ste 150
Plymouth, MI 48170-4621
Phone
(734) 416-1717
Fax
(855) 288-6108
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Robert Gibber
Title
Ceo
Phone
(312) 656-0882

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 5301008829 MI
Long Term Care Pharmacy 3336L0003X 64001242A IN Primary

Addresses

Primary practice location

9131 General CT
Ste 150
Plymouth, MI 48170-4621

Mailing address

9131 General CT
Ste 150
Plymouth, MI 48170-4621
Phone (734) 451-5278

Other identifiers 2

IdentifierTypeStateIssuer
2370889OtherNCPDP PROVIDER IDENTIFICATION NUMBER
P008009737MedicaidMI

Other names 1

  • RXPERTS PHARMACY MICHIGAN LLC Doing business as

National Provider Directory

National Provider Directory

Locations

9131 General Ct
Ste 150
Plymouth, MI 48170
Phone (734) 416-1717

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1023287422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 GENERAL CT",
            "address_2": "STE 150",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704621",
            "telephone_number": "734-451-5278",
            "fax_number": "734-451-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 GENERAL CT",
            "address_2": "STE 150",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704621",
            "telephone_number": "734-416-1717",
            "fax_number": "855-288-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXPERTS PHARMACY MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "GIBBER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-656-0882"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301008829",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "64001242A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2370889",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P008009737",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RXPERTS PHARMACY MICHIGAN LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.