Organization Active NPI

CMS Pharmacy Inc

  • Mail Order Pharmacy
  • Wixom, MI
National Provider Identifier
1164616215
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
5301008689 Issued in MI
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.