Ella Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010142 Issued in MI

Legal business name

ELLA PHARMACY LLC

Doing business as

Garfield pharmacy

Practice address

42645 Garfield Rd
Ste 102
Clinton Township, MI 48038-5022

Phone

(586) 416-1100

Fax

(586) 416-1101

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

Jinan Harkous

Title

Pharmacist

Phone

(248) 722-0440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Garfield pharmacy Doing business as

Locations

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1174965537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42645 GARFIELD RD",
            "address_2": "STE 102",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385022",
            "telephone_number": "586-416-1100",
            "fax_number": "586-416-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42645 GARFIELD RD",
            "address_2": "STE 102",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385022",
            "telephone_number": "586-416-1100",
            "fax_number": "586-416-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "HARKOUS",
        "authorized_official_first_name": "JINAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "248-722-0440"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garfield pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Clinton Township, MI
• Providers in Clinton Township, 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 Aug 14, 2013; 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.