Organization Active NPI

Milford Pharmacy LLC

Doing business as Milford Savmor Pharmacy

  • Community/Retail Pharmacy
  • Milford, MI
National Provider Identifier
1154439529
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301007695 Issued in MI
Legal business name
MILFORD PHARMACY LLC
Doing business as
Milford Savmor Pharmacy
Milford Pharmacy
Practice address
1191 N Milford Rd
Milford, MI 48381-1050
Phone
(248) 685-8363
Fax
(248) 685-8420
NPI assigned
Aug 27, 2006
Last updated
May 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Authorized official

Name
Cheryl Obrien
Title
Manager
Phone
(248) 685-8363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301007695 MI Primary

Addresses

Primary practice location

1191 N Milford Rd
Milford, MI 48381-1050

Mailing address

25625 Southfield Rd
Southfield, MI 48075

Other identifiers 2

IdentifierTypeStateIssuer
2364696OtherOTHER ID NUMBER
2364696MedicaidMI

Other names 2

  • MILFORD SAVMOR PHARMACY Doing business as
  • Milford Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1154439529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25625 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 N MILFORD RD",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811050",
            "telephone_number": "248-685-8363",
            "fax_number": "248-685-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-685-8363"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2364696",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2364696",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILFORD SAVMOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milford Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.