Michigan Specialty Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006847 Issued in MI

Legal business name

MICHIGAN SPECIALTY CARE PHARMACY LLC

Practice address

223 W Silver Lake Rd
Fenton, MI 48430-2605

Phone

(810) 629-4002

Fax

(810) 629-5247

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Shahid Imran

Title

Owner

Phone

(810) 629-4002

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• B&C'S Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1205908233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302605",
            "telephone_number": "810-629-4002",
            "fax_number": "810-629-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302605",
            "telephone_number": "810-629-4002",
            "fax_number": "810-629-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPECIALTY CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A",
        "authorized_official_last_name": "IMRAN",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-629-4002"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2348387",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2348387",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B&C'S Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael J Kirby MD PLC
• Michael S. O'Hara, P.C.
• Brian Andrew Michalkow, DDS
• Michigan Center for Orthopedic Surgery PLC
• Michigan Language Crafters
• Ashleigh Beth Miller, RN
• Kelaine Miller, LPC
• Kenneth Miller
• Paige Marie Millikin
• Mind Over Matters Therapy, LLC

• Community/Retail Pharmacy in Fenton, MI
• Providers in Fenton, 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 Jan 30, 2021; 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.