Organization Active NPI

Anatrup Inc.

Doing business as Grand River Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1093986671
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008825 Issued in MI
Legal business name
ANATRUP INC.
Doing business as
Grand River Pharmacy
Practice address
19460 Grand River Ave
Detroit, MI 48223-1200
Phone
(313) 533-0560
NPI assigned
Mar 21, 2008
Last updated
Mar 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Lokesh Tayal
Title
President
Phone
(313) 412-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301008825 MI Primary

Addresses

Primary practice location

19460 Grand River Ave
Detroit, MI 48223-1200

Mailing address

PO Box 87410
Canton, MI 48187-0410
Phone (313) 533-0560

Other names 1

  • Grand River Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1093986671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87410",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481870410",
            "telephone_number": "313-533-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19460 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231200",
            "telephone_number": "313-533-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANATRUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "TAYAL",
        "authorized_official_first_name": "LOKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-412-9220"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand River Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.