Organization Active NPI

Auburn Discount Pharmacy

  • Community/Retail Pharmacy
  • Pontiac, MI
National Provider Identifier
1134423957
Registry record updated Jan 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009491 Issued in MI
Legal business name
AUBURN DISCOUNT PHARMACY
Practice address
263 Auburn Ave
Pontiac, MI 48342-3012
Phone
(313) 864-7469
Fax
(313) 864-7607
NPI assigned
Jan 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2011

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

Authorized official

Name
Dr. Michael O Madu, B PHARMS
Title
Chief Pharmacist
Phone
(678) 508-2178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009491 MI Primary

Addresses

Primary practice location

263 Auburn Ave
Pontiac, MI 48342-3012

Mailing address

263 Auburn Ave
Pontiac, MI 48342-3012
Phone (313) 864-7469

Other names 1

  • mtjr Other name

National Provider Directory

National Provider Directory

Locations

263 Auburn Ave
Pontiac, MI 48342
Phone (248) 289-1376

NPI Registry JSON

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

{
    "created_epoch": "1294531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294531200000",
    "number": "1134423957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 AUBURN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423012",
            "telephone_number": "313-864-7469",
            "fax_number": "313-864-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 AUBURN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423012",
            "telephone_number": "313-864-7469",
            "fax_number": "313-864-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-09",
        "last_updated": "2011-01-09",
        "status": "A",
        "authorized_official_last_name": "MADU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "678-508-2178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B PHARMS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mtjr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

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