Active NPI
Anatrup Inc.
Doing business as Grand River Pharmacy
- Community/Retail Pharmacy
- Detroit, MI
National Provider Identifier
1093986671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008825
- 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, 2008
- 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
- Lokesh Tayal
- Title
- President
- Phone
- (313) 412-9220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.