Active NPI
Atlas Meds Pharmacy Inc
Doing business as Atlas Meds Pharmacy
- Community/Retail Pharmacy
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301010592
- Legal business name
- ATLAS MEDS PHARMACY INC
- Doing business as
- Atlas Meds Pharmacy
- Practice address
- 4801 S Martin Luther King Jr Blvd
Lansing, MI 48910-5111 - Phone
- (517) 580-0991
- Fax
- (517) 580-0992
- NPI assigned
- Aug 12, 2014
- Last updated
- Feb 6, 2023
- 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
- Dalia Elgohary, RPH
- Title
- President
- Phone
- (517) 580-0991
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 5301010592 | MI | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
4801 S Martin Luther King Jr Blvd
Lansing, MI 48910-5111
Mailing address
4801 S Martin Luther King Jr Blvd
Lansing, MI 48910-5111
Phone (517) 580-0991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147647 | Other | PK |
Other names 1
- Atlas Meds Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201118001292 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 4880005131 | Practice locations: Lansing, MI |
| O20220607002126 | MI | Part B Supplier - Independent Clinical Laboratory | 4880005131 | Practice locations: Lansing, MI |
National Provider Directory
National Provider DirectoryLocations
4801 S Martin Luther King Jr Blvd
Lansing, MI 48910
Phone (517) 580-0991
5016 S Martin Luther King Jr Blvd
Lansing, MI 48910
Phone (517) 580-0991
Practitioners & affiliated clinicians
Practitioners 2
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 Clinician (PhC)/ Clinical Pharmacy Specialist
- Lansing, MI
- NPI 1477036655
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Lansing, MI
- NPI 1134471154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675641600000",
"number": "1205245586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 S MARTIN LUTHER KING JR BLVD",
"city": "LANSING",
"state": "MI",
"postal_code": "489105111",
"telephone_number": "517-580-0991",
"fax_number": "517-580-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S MARTIN LUTHER KING JR BLVD",
"city": "LANSING",
"state": "MI",
"postal_code": "489105111",
"telephone_number": "517-580-0991",
"fax_number": "517-580-0992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLAS MEDS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-12",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A",
"authorized_official_last_name": "ELGOHARY",
"authorized_official_first_name": "DALIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "517-580-0991",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301010592",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2147647",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlas Meds Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Atlas Meds Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.