Flint Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301002090 Issued in MI

Legal business name

FLINT FAMILY PHARMACY LLC

Doing business as

Family Pharmacy
Flint Family Pharmacy

Practice address

G4444 Fenton Rd
Flint, MI 48507-3784

Phone

(810) 235-7995

Fax

(810) 235-0241

NPI assigned

Jun 1, 2006

Last updated

Oct 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John W GrossNPI 1215457817

Title

Owner

Phone

(989) 339-9008

Specialties & licenses 2

Addresses

Other names 2

• FAMILY PHARMACY Doing business as
• FLINT FAMILY PHARMACY Doing business as

Tax ID family

Family Pharmacy2 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.

• Flint Family Pharmacy LLC

  dba Family Pharmacy

  • Long Term Care Pharmacy
  • Flint, MI
  • NPI 1255968814
  NPD tax ID

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.

• John W Gross, RPH

  • Pharmacist
  • Clare, MI
  • NPI 1215457817
  NPD (past) Authorized official

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601683200000",
    "number": "1255378055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11271 HARRISON AVE",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229439",
            "telephone_number": "989-339-9008",
            "fax_number": "855-855-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G4444 FENTON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073784",
            "telephone_number": "810-235-7995",
            "fax_number": "810-235-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-339-9008"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301002090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLINT FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Flint Emergent Surgical Services
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• Flint Family Dentistry
• Flint Family Pharmacy LLC (Family Pharmacy)
• Flint Foot & Ankle PLLC (Clio Foot & Ankle)
• Flint Fresh Mobile Market
• Flint Institute of Music
• Flint Mass Transportation Authority

• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, 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 Oct 3, 2020; 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.