Orchard Trails LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ORCHARD TRAILS LLC

Doing business as

Orchard Trails Pharmacy

Practice address

23133 Orchard Lake Rd Ste 101
Farmington, MI 48336-3278

Phone

(248) 516-3566

Fax

(248) 516-3564

NPI assigned

Jan 24, 2020

Organization subpart

No

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

Authorized official

Name

Stavros Triant

Title

Member

Phone

(248) 516-3566

Specialties & licenses 2

Addresses

Other names 1

• Orchard Trails Pharmacy Doing business as

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1033749395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 101",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363278",
            "telephone_number": "248-516-3566",
            "fax_number": "248-516-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 101",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363278",
            "telephone_number": "248-516-3566",
            "fax_number": "248-516-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD TRAILS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "TRIANT",
        "authorized_official_first_name": "STAVROS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-516-3566"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Trails Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Farmington, MI
• Providers in Farmington, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.