Andrew J Mac, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302028280 Issued in MI

Practice address

34550 Glendale St
Livonia, MI 48150-1304

Phone

(734) 377-3154

Fax

(734) 345-3525

NPI assigned

May 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mi Pharm LLC

  • Long Term Care Pharmacy
  • Livonia, MI
  • NPI 1649463712
  NPD Authorized official

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1114193554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32320 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546109",
            "telephone_number": "734-353-7809",
            "fax_number": "888-722-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34550 GLENDALE ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501304",
            "telephone_number": "734-377-3154",
            "fax_number": "734-345-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAC",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN CONTROLLED SUBSTANCE LICENSE",
            "identifier": "5302028280",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN PHARMACIST LICENSE",
            "identifier": "5302028280",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Lyons Jr., B.A
• Tamaya J Lyons, BEHAVIOR TECHNICIAN
• M H Neal MD PC
• Nimish Mathur M.B.B.S
• Xin Ma, AP
• Ryan C Mac
• Randi Macauley
• Kailey Macdonald
• Michael Francis Macdonald, M.D.
• Janet Machowicz

• Pharmacist in Livonia, MI
• Providers in Livonia, MI by specialty
• Pharmacist in Michigan

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