McNichols Drugstore LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009824 Issued in MI

Legal business name

MCNICHOLS DRUGSTORE LLC

Doing business as

McNichols Drugstore

Practice address

10123 W McNichols Rd
Detroit, MI 48221-2454

Phone

(313) 340-4242

Fax

(313) 340-4445

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Rami Lazeki, PHARM D

Title

Pharmacist in Charge

Phone

(313) 377-5626

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• McNichols Drugstore Doing business as

Locations

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073878625",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "10123 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MICHIGAN",
            "postal_code": "48221",
            "telephone_number": "313-340-4242",
            "fax_number": "313-340-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212454",
            "telephone_number": "313-340-4242",
            "fax_number": "313-340-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNICHOLS DRUGSTORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LAZEKI",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "313-377-5626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENCE",
            "identifier": "5301009824",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2376932",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McNichols Drugstore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerhard F McNeary, CADC ,CPRM ,CPRC
• Samuel Gene McNeeley, MD
• Ashley McNeil, D.O.
• Tiffany Marie McNeil
• Kaitlyn Danielle McNeill-Aguinaga
• McNichols RX LLC
• Caitlin Ashley McNorgan, LMSW
• Audrey Elle McPartlin
• Athina McPherson
• Donna Marie McPherson

• 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 Mar 7, 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.