Active NPI
640 Auburn Road Drugs Inc
Doing business as Action Drugs
- Community/Retail Pharmacy
- Pontiac, MI
National Provider Identifier
1184713307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301004561
- Legal business name
- 640 AUBURN ROAD DRUGS INC
- Doing business as
- Action Drugs
- Practice address
- 640 Auburn Ave
Pontiac, MI 48342-3365 - Phone
- (248) 332-6840
- Fax
- (810) 332-6841
- NPI assigned
- Oct 12, 2006
- Last updated
- Aug 6, 2012
- 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
- Hershel Cohen
- Title
- VP
- Phone
- (248) 332-6840
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301004561 | MI | Primary |
Addresses
Primary practice location
640 Auburn Ave
Pontiac, MI 48342-3365
Mailing address
640 Auburn Ave
Pontiac, MI 48342-3365
Phone (248) 332-6840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2341561 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 1780990 | Medicaid | MI |
Other names 1
- ACTION DRUGS
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Pontiac, MI
- NPI 1013008887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344211200000",
"number": "1184713307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 AUBURN AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483423365",
"telephone_number": "248-332-6840",
"fax_number": "810-332-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 AUBURN AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483423365",
"telephone_number": "248-332-6840",
"fax_number": "810-332-6841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "640 AUBURN ROAD DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2012-08-06",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "HERSHEL",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "248-332-6840"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301004561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2341561",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780990",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACTION DRUGS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.