Organization Active NPI

Greenfield Medical Pharmacy LLC

  • Community/Retail Pharmacy
  • Southfield, MI
National Provider Identifier
1043543200
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009189 Issued in MI
Legal business name
GREENFIELD MEDICAL PHARMACY LLC
Doing business as
Greenfield Medical Pharmacy
Practice address
24261 Greenfield Rd
Southfield, MI 48075-3117
Phone
(248) 395-9790
Fax
(248) 395-9793
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Muhammad Ramzan, RPH
Title
Pic
Phone
(248) 395-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009189 MI Primary

Addresses

Primary practice location

24261 Greenfield Rd
Southfield, MI 48075-3117

Mailing address

24261 Greenfield Rd
Southfield, MI 48075-3117
Phone (248) 395-9790

Other identifiers 1

IdentifierTypeStateIssuer
2373188OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Greenfield Medical Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1043543200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24261 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753117",
            "telephone_number": "248-395-9790",
            "fax_number": "248-395-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24261 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753117",
            "telephone_number": "248-395-9790",
            "fax_number": "248-395-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "RAMZAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "248-395-9790",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2373188",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.