Organization Active NPI

Heritage Pharmacy of Novi

  • Community/Retail Pharmacy
  • Novi, MI
National Provider Identifier
1245688506
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010931 Issued in MI
Legal business name
HERITAGE PHARMACY OF NOVI
Doing business as
Heritage Pharmacy Of Novi
Practice address
25500 Meadowbrook Rd Ste 160
Novi, MI 48375-1881
Phone
(734) 377-8304
NPI assigned
May 27, 2016
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Rajan Patel
Title
President
Phone
(734) 377-8304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010931 MI Primary

Addresses

Primary practice location

25500 Meadowbrook Rd Ste 160
Novi, MI 48375-1881

Mailing address

25500 Meadowbrook Rd Ste 160
Novi, MI 48375-1881
Phone (734) 377-8304

Other names 1

  • Heritage Pharmacy Of Novi Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage Pharmacy of Novi2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25500 Meadowbrook Rd
Ste 160
Novi, MI 48375
Phone (248) 216-0758

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1245688506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 160",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751881",
            "telephone_number": "734-377-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 160",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751881",
            "telephone_number": "734-377-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PHARMACY OF NOVI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-377-8304"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Pharmacy Of Novi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.