Active NPI
Royals Pharmacy LLC
- Community/Retail Pharmacy
- Ferndale, MI
National Provider Identifier
1093029142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5315052030
- Legal business name
- ROYALS PHARMACY LLC
- Practice address
- 20727 Wyoming St
Ferndale, MI 48220-2141 - Phone
- (248) 566-0116
- Fax
- (248) 566-0117
- NPI assigned
- Jul 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Himal Shah, RPH
- Title
- Owner, Pic
- Phone
- (231) 580-1601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5315052030 | MI | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
20727 Wyoming St
Ferndale, MI 48220-2141
Mailing address
20727 Wyoming St
Ferndale, MI 48220-2141
Phone (248) 566-0116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128887 | Other | PK |
Other names 1
- Royals Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180921001066 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254682719 | Practice locations: Ferndale, MI |
National Provider Directory
National Provider DirectoryLocations
20727 Wyoming St
Ferndale, MI 48220
Phone (231) 580-1601
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Ferndale, MI
- NPI 1730851460
-
- Pharmacist
- Ferndale, MI
- NPI 1609548353
-
- Pharmacist
- Ferndale, MI
- NPI 1962137547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491955200000",
"number": "1093029142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20727 WYOMING ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202141",
"telephone_number": "248-566-0116",
"fax_number": "248-566-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20727 WYOMING ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202141",
"telephone_number": "248-566-0116",
"fax_number": "248-566-0117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYALS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-31",
"last_updated": "2017-04-12",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "HIMAL",
"authorized_official_title_or_position": "OWNER, PIC",
"authorized_official_telephone_number": "231-580-1601",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5315052030",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2128887",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Royals Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.