Millennium Pharmacy

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

5301007005 Issued in MI

Legal business name

MILLENNIUM PHARMACY

Practice address

1102 Ann Arbor Rd W
Plymouth, MI 48170-2131

Phone

(734) 451-5009

Fax

(734) 451-2413

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Alidah Nathoo

Title

RPH

Phone

(734) 451-5009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033327754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 ANN ARBOR RD W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702131",
            "telephone_number": "734-451-5009",
            "fax_number": "734-451-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 ANN ARBOR RD W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702131",
            "telephone_number": "734-451-5009",
            "fax_number": "734-451-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATHOO",
        "authorized_official_first_name": "ALIDAH",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "734-451-5009"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MI",
            "license": "5301007005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4102279",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Markus M Mijnsbergen
• Zeina Mikhael
• Jennifer Mikolajek
• Madelyn Mill
• Morgan Millard
• Frank Miller
• Harmony Rose Miller, COTA
• Jazmine Miller
• Joi Miller, LLPC, MSP, TRS
• Kallen Miller

• Community Health Clinic/Center in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Community Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.