Organization Active NPI

Frankenmuth Pharmacy LLC

  • Community/Retail Pharmacy
  • Frankenmuth, MI
National Provider Identifier
1275362097
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FRANKENMUTH PHARMACY LLC
Practice address
154 S Main St Ste 4
Frankenmuth, MI 48734-1692
Phone
(313) 819-3649
NPI assigned
Jul 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Ali Mroueh, RPHNPI 1184131450
Title
Pharmacist-in-Charge, Owner
Phone
(313) 819-3649

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

154 S Main St Ste 4
Frankenmuth, MI 48734-1692

Mailing address

154 S Main St Ste 4
Frankenmuth, MI 48734-1692
Phone (313) 819-3649

Other names 1

  • Frankenmuth Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241224000655 MI Part B Supplier - Pharmacy 2264969633 Practice locations: Frankenmuth, MI

National Provider Directory

National Provider Directory

Locations

154 S Main St
Ste 4
Frankenmuth, MI 48734
Phone (313) 819-3649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1275362097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 S MAIN ST STE 4",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341692",
            "telephone_number": "313-819-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 S MAIN ST STE 4",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341692",
            "telephone_number": "313-819-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKENMUTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "MROUEH",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE, OWNER",
        "authorized_official_telephone_number": "313-819-3649",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frankenmuth Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frankenmuth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.

Verify at the official NPI Registry.