Active NPI
Auburn Discount Pharmacy
- Community/Retail Pharmacy
- Pontiac, MI
National Provider Identifier
1134423957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301009491
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.