McNichols RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010818 Issued in MI

Legal business name

MCNICHOLS RX LLC

Doing business as

Knight Drugs - McNichols

Practice address

4321 E McNichols Rd
Detroit, MI 48212-1720

Phone

(313) 334-6717

Fax

(313) 334-6718

NPI assigned

Nov 2, 2017

Organization subpart

Yes

Parent organization

MCNICHOLS MANAGEMENT INCAs reported in NPPES

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

Authorized official

Name

Candice Tolf

Title

3Rd Party Coordinator

Phone

(313) 751-7979

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Knight Drugs - McNichols Doing business as

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1184136889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6689 ORCHARD LAKE RD STE 168",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121720",
            "telephone_number": "313-334-6717",
            "fax_number": "313-334-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNICHOLS RX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCNICHOLS MANAGEMENT INC",
        "enumeration_date": "2017-11-02",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "TOLF",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "3RD PARTY COORDINATOR",
        "authorized_official_telephone_number": "313-751-7979"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLEXSCRIPT",
            "identifier": "FSRX4132523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knight Drugs - McNichols",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Gene McNeeley, MD
• Ashley McNeil, D.O.
• Tiffany Marie McNeil
• Kaitlyn Danielle McNeill-Aguinaga
• McNichols Drugstore LLC
• Caitlin Ashley McNorgan, LMSW
• Audrey Elle McPartlin
• Athina McPherson
• Donna Marie McPherson
• Randall McPherson II, M.D.

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Sep 20, 2023; 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.