Organization Active NPI

Ajc Enterprises Inc

  • Community/Retail Pharmacy
  • Warren, MI
National Provider Identifier
1114099900
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AJC ENTERPRISES INC
Doing business as
MEDICAP PHARMACY
Practice address
11460 E 12 Mile Rd
Warren, MI 48093-2631
Phone
(586) 582-9670
Fax
(586) 751-4122
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Anthony J Cracchiolo, RPH
Title
Owner Pharmacist
Phone
(586) 582-9670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301007110 MI
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

11460 E 12 Mile Rd
Warren, MI 48093-2631

Mailing address

11460 E 12 Mile Rd
Warren, MI 48093-2631

Other identifiers 1

IdentifierTypeStateIssuer
2357730OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDICAP PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114099900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11460 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932631",
            "telephone_number": "586-582-9670",
            "fax_number": "586-751-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJC ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CRACCHIOLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "586-582-9670",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301007110",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2357730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • 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.