NPIMap

Organization Active NPI

Wyandotte Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Wyandotte, MI
National Provider Identifier
1114764164
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WYANDOTTE PHARMACY, INC.
Doing business as
Wyandotte Pharmacy
Practice address
375 Eureka Rd Ste a
Wyandotte, MI 48192-5839
Phone
(734) 720-0929
Fax
(855) 476-3776
NPI assigned
Jul 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Mr. Nehalkumar Ranjit Patel
Title
President
Phone
(734) 720-0929

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

375 Eureka Rd Ste a
Wyandotte, MI 48192-5839

Mailing address

375 Eureka Rd Ste a
Wyandotte, MI 48192-5839
Phone (734) 720-0929

Other names 1

  • Wyandotte Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wyandotte Pharmacy2 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.

Locations

375 Eureka Rd
Ste A
Wyandotte, MI 48192
Phone (734) 720-0929

Practitioners & affiliated clinicians

Practitioners 3

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": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1114764164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 EUREKA RD STE A",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925839",
            "telephone_number": "734-720-0929",
            "fax_number": "855-476-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 EUREKA RD STE A",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925839",
            "telephone_number": "734-720-0929",
            "fax_number": "855-476-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOTTE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEHALKUMAR",
        "authorized_official_middle_name": "RANJIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-720-0929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyandotte Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyandotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.