Medical Arts Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MEDICAL ARTS PHARMACY, LLC

Practice address

8483 Holly Rd Ste 202
Grand Blanc, MI 48439-1840

Phone

(810) 344-6422

Fax

(810) 344-6421

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth R Johnson, RPHNPI 1164653036

Title

Pic

Phone

(810) 344-6422

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth R Johnson, RPH

  • Pharmacist
  • Troy, MI
  • NPI 1164653036
  NPD Authorized official

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1043783285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8483 HOLLY RD STE 202",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391840",
            "telephone_number": "810-344-6422",
            "fax_number": "810-344-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8483 HOLLY RD STE 202",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391840",
            "telephone_number": "810-344-6422",
            "fax_number": "810-344-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "810-344-6422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLEXSCRIPT",
            "identifier": "FSRX7415513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antoneio McMillion
• Lyniece Renney McNair-Levi, MS, AT, ATC
• Matthew Gordon McTaggart, PHARMD
• Amitkumarreddy Meda, MD
• Anish Kumar Reddy Meda, MD
• Medical Arts Pharmacy, LLC
• Medical Rehabilitation Group PC
• Ankur Mehta, MD
• Kushaan Mehta
• Raychelle A Melki, FNP-BC

• All providers in Grand Blanc, MI
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.