Mykal Discount Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5302037112 Issued in MI

Legal business name

MYKAL DISCOUNT PHARMACY

Practice address

16215 Livernois Ave
Detroit, MI 48221-3034

Phone

(313) 864-7469

Fax

(313) 864-7607

NPI assigned

Dec 16, 2009

Last updated

Dec 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael O Madu, RPH

Title

Pharmacist

Phone

(678) 508-2178

Specialties & licenses 1

Addresses

Tax ID family

Mykal Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mykal Discount Pharmacy

  • Community/Retail Pharmacy
  • Pontiac, MI
  • NPI 1780992750
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mykal Discount Pharmacy

  • Community/Retail Pharmacy
  • Pontiac, MI
  • NPI 1780992750
  NPPES parent name

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1043549223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16215 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213034",
            "telephone_number": "313-864-7469",
            "fax_number": "313-864-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213034",
            "telephone_number": "313-864-7469",
            "fax_number": "313-864-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYKAL DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "MADU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "678-508-2178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5302037112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashaunta Myers
• Michell Ann Myers, PH.D.
• Stacey Myers
• Shazo Myftari
• Orion Myhre, DO
• Bridget Myke, CTRS
• Kayla Myott
• Mypureheart Homecare Services
• Kelly Devonne Myricks, LPC
• Myselfincluded

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.