Washington Medical Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009514 Issued in MI

Legal business name

WASHINGTON MEDICAL PHARMACY LLC

Practice address

57850 Van Dyke Rd Ste 250
Washington Township, MI 48094-3826

Phone

(586) 992-9600

Fax

(586) 992-9611

NPI assigned

Dec 30, 2010

Organization subpart

No

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

Authorized official

Name

Alvin NG, PHARMD

Title

Pharmacist/Owner

Phone

(313) 808-0506

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Washington Medical Pharmacy LLC Doing business as

Locations

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1134423494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57850 VAN DYKE RD STE 250",
            "city": "WASHINGTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480943826",
            "telephone_number": "586-992-9600",
            "fax_number": "586-992-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57850 VAN DYKE RD STE 250",
            "city": "WASHINGTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480943826",
            "telephone_number": "586-992-9600",
            "fax_number": "586-992-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "313-808-0506",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009514",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374813",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Medical Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yardley Nieto Resendiz
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• Megan Tarnowski, RD
• Sara T Tella, LMSW
• Washington Urgent Care, PLLC
• Washington Urgent Care, PLLC

• Community/Retail Pharmacy in Washington Township, MI
• Providers in Washington Township, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.