Organization Active NPI

Flint Family Pharmacy LLC

Doing business as Family Pharmacy

  • Long Term Care Pharmacy
  • Flint, MI
National Provider Identifier
1255968814
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FLINT FAMILY PHARMACY LLC
Doing business as
Family Pharmacy
Practice address
G4444 Fenton Rd
Flint, MI 48507-3784
Phone
(810) 235-7995
NPI assigned
Mar 24, 2020
Last updated
Mar 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
John GrossNPI 1215457817
Title
Owner
Phone
(989) 339-9008

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

G4444 Fenton Rd
Flint, MI 48507-3784

Mailing address

11271 Harrison Ave
Farwell, MI 48622-9439
Phone (989) 339-9008

Other names 1

  • Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
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.

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": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1255968814",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-339-9008"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.