Lathrup Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010578 Issued in MI

Legal business name

LATHRUP APOTHECARY INC

Practice address

27241 Southfield Rd
Lathrup Village, MI 48076-3406

Phone

(248) 331-1112

Fax

(248) 331-1114

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Rohini PotlaNPI 1265125181

Title

Owner

Phone

(248) 331-1112

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Lathrup Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rohini D Potla

  • Pharmacist
  • Lathrup Village, MI
  • NPI 1265125181
  NPD Authorized official

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1154740207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27241 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763406",
            "telephone_number": "248-331-1112",
            "fax_number": "248-331-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27241 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763406",
            "telephone_number": "248-331-1112",
            "fax_number": "248-331-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHRUP APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "POTLA",
        "authorized_official_first_name": "ROHINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-331-1112"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010578",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lathrup Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Kopsch, DC
• Jacqueline Yolanda Kramer
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• Victora H Langsam, MD
• Kaia Larry
• Lathrup Family Dentistry
• Lathrup Health Clinic PC
• Lathrup Primary Care PC
• Lifetime Dental Care of Michigan, P.C.
• Lifetime Dental Care of Michigan, P.C.

• Community/Retail Pharmacy in Lathrup Village, MI
• Providers in Lathrup Village, 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 May 25, 2016; 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.