Organization Active NPI

Iha Pharmacy Holdings LLC

Doing business as IHA Family Pharmacy

  • Community/Retail Pharmacy
  • Brighton, MI
National Provider Identifier
1053525097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008612 Issued in MI
Legal business name
IHA PHARMACY HOLDINGS LLC
Doing business as
IHA Family Pharmacy
Practice address
2305 Genoa Business Park Drive
Suite 140
Brighton, MI 48114
Phone
(810) 229-4420
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carlotta Gabard
Title
VP of Administrative Services
Phone
(734) 747-6766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301008612 MI Primary

Addresses

Primary practice location

2305 Genoa Business Park Drive
Suite 140
Brighton, MI 48114

Mailing address

2100 Commonwealth Blvd
Suite 202
Ann Arbor, MI 48105-1593

Other names 1

  • IHA Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2305 Genoa Business Park Dr
Ste 140
Brighton, MI 48114
Phone (810) 229-4420

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053525097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 COMMONWEALTH BLVD",
            "address_2": "SUITE 202",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DRIVE",
            "address_2": "SUITE 140",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "810-229-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHA PHARMACY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GABARD",
        "authorized_official_first_name": "CARLOTTA",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "734-747-6766"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHA Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.