Organization Active NPI

Ocean Pharmacy Inc.

  • Community/Retail Pharmacy
  • Taylor, MI
National Provider Identifier
1114929874
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006897 Issued in MI
Legal business name
OCEAN PHARMACY INC.
Doing business as
Goddard Pharmacy
Practice address
25416 Goddard Rd
Taylor, MI 48180-6200
Phone
(313) 291-1100
Fax
(313) 291-1308
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Carl F Dempich, PHARMACIST
Title
President
Phone
(313) 291-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5302023943 MI
Community/Retail Pharmacy 3336C0003X 5301006897 MI Primary

Addresses

Primary practice location

25416 Goddard Rd
Taylor, MI 48180-6200

Mailing address

25416 Goddard Rd
Taylor, MI 48180-6200
Phone (313) 291-1100

Other identifiers 2

IdentifierTypeStateIssuer
2342866MedicaidMI
2342866OtherMINCPDP NUMBER

Other names 1

  • Goddard Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

25416 Goddard Rd
Taylor, MI 48180
Phone (313) 291-1100

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114929874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25416 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806200",
            "telephone_number": "313-291-1100",
            "fax_number": "313-291-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25416 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806200",
            "telephone_number": "313-291-1100",
            "fax_number": "313-291-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DEMPICH",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-291-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302023943",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342866",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "2342866",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goddard Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.