Organization Active NPI

Rxall Pharmacy LLC

  • Community/Retail Pharmacy
  • Riverview, MI
National Provider Identifier
1124605084
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RXALL PHARMACY LLC
Practice address
14720 King Rd Ste C
Riverview, MI 48193-7975
Phone
(734) 463-3300
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Mr. Vishal Nayak
Title
Pharmacy in Charge
Phone
(734) 463-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

14720 King Rd Ste C
Riverview, MI 48193-7975

Mailing address

14720 King Rd Ste C
Riverview, MI 48193-7975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210601002703 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1355740903 Practice locations: Riverview, MI

National Provider Directory

National Provider Directory
Tax ID family
Rxall 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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1124605084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14720 KING RD STE C",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14720 KING RD STE C",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937975",
            "telephone_number": "734-463-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXALL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2022-01-03",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "PHARMACY IN CHARGE",
        "authorized_official_telephone_number": "734-463-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.