Active NPI
Food Value & Pharmacy Corp
- Community/Retail Pharmacy
- Auburn, MI
National Provider Identifier
1033425129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301009408
- Legal business name
- FOOD VALUE & PHARMACY CORP
- Practice address
- 957 W Midland Rd
Auburn, MI 48611-9406 - Phone
- (989) 662-7773
- Fax
- (989) 662-7778
- NPI assigned
- Aug 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chandresh Amin
- Title
- President
- Phone
- (989) 755-7890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301009408 | MI | Primary |
Addresses
Primary practice location
957 W Midland Rd
Auburn, MI 48611-9406
Mailing address
957 W Midland Rd
Auburn, MI 48611-9406
Phone (989) 662-7773
Other names 1
- wackerly pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211229000671 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 8921208547 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saginaw, MI; Auburn, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Food Value Pharmacy Corp
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Auburn, MI
- NPI 1396387239
-
- Long Term Care Pharmacy
- Saginaw, MI
- NPI 1477195311
-
- Long Term Care Pharmacy
- Saginaw, MI
- NPI 1518835552
-
- Community/Retail Pharmacy
- Saginaw, MI
- NPI 1558513770
Locations
310 E Midland Rd
Auburn, MI 48611
Phone (989) 662-4005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Auburn, MI
- NPI 1619509312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1033425129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 W MIDLAND RD",
"city": "AUBURN",
"state": "MI",
"postal_code": "486119406",
"telephone_number": "989-662-7773",
"fax_number": "989-662-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 W MIDLAND RD",
"city": "AUBURN",
"state": "MI",
"postal_code": "486119406",
"telephone_number": "989-662-7773",
"fax_number": "989-662-7778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOD VALUE & PHARMACY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-26",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "AMIN",
"authorized_official_first_name": "CHANDRESH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-755-7890",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301009408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "wackerly pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "wackerly pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.