Active NPI
CMS Pharmacy Inc
- Mail Order Pharmacy
- Wixom, MI
National Provider Identifier
1164616215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- License
- 5301008689
- Legal business name
- CMS PHARMACY INC
- Practice address
- 50496 Pontiac TRL
Suite 1300
Wixom, MI 48393-2027 - Phone
- (248) 896-6203
- Fax
- (248) 960-7889
- NPI assigned
- Aug 31, 2007
- Last updated
- Sep 6, 2007
- 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
- Ms. Charlene Shaya
- Title
- Vice President
- Phone
- (248) 896-6203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mail Order Pharmacy | 3336M0002X | 5301008689 | MI | Primary |
Addresses
Primary practice location
50496 Pontiac TRL
Suite 1300
Wixom, MI 48393-2027
Mailing address
50496 Pontiac TRL
Suite 1300
Wixom, MI 48393-2027
Phone (248) 896-6203
Other names 1
- CMS Pharmacy
National Provider Directory
National Provider DirectoryLocations
50496 Pontiac Trl
Ste 1300
Wixom, MI 48393
Phone (248) 896-6203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189036800000",
"number": "1164616215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50496 PONTIAC TRL",
"address_2": "SUITE 1300",
"city": "WIXOM",
"state": "MI",
"postal_code": "483932027",
"telephone_number": "248-896-6203",
"fax_number": "248-960-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50496 PONTIAC TRL",
"address_2": "SUITE 1300",
"city": "WIXOM",
"state": "MI",
"postal_code": "483932027",
"telephone_number": "248-896-6203",
"fax_number": "248-960-7889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-31",
"last_updated": "2007-09-06",
"status": "A",
"authorized_official_last_name": "SHAYA",
"authorized_official_first_name": "CHARLENE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "248-896-6203",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "MI",
"license": "5301008689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CMS Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.