Organization Active NPI

Ann Arbor Pharmacy LLC

  • Long Term Care Pharmacy
  • Ann Arbor, MI
National Provider Identifier
1104562016
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ANN ARBOR PHARMACY LLC
Practice address
2418 East Stadium Blvd
Ann Arbor, MI 48104
Phone
(734) 677-5555
Fax
(734) 773-3989
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Dr. Ziad Ghamraoui, PHARM.D.
Title
Manager
Phone
(734) 677-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2418 East Stadium Blvd
Ann Arbor, MI 48104

Mailing address

2418 East Stadium Blvd
Ann Arbor, MI 48104
Phone (734) 677-5555

National Provider Directory

National Provider Directory
Tax ID family
Ann Arbor Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1104562016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 EAST STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-677-5555",
            "fax_number": "734-773-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 EAST STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-677-5555",
            "fax_number": "734-773-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "GHAMRAOUI",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-677-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.