Organization Active NPI

640 Auburn Road Drugs Inc

Doing business as Action Drugs

  • Community/Retail Pharmacy
  • Pontiac, MI
National Provider Identifier
1184713307
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301004561 Issued in MI
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Hershel CohenNPI 1013008887
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2341561OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1780990MedicaidMI

Other names 1

  • ACTION DRUGS Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.