West Bloomfield Market LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009097 Issued in MI

Legal business name

WEST BLOOMFIELD MARKET LLC

Practice address

6565 Orchard Lake Rd
West Bloomfield, MI 48322-3403

Phone

(248) 626-1111

Fax

(248) 626-1116

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer Martin

Title

VP of Pharmacy

Phone

(248) 706-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plum Market Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1306085394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30777 NORTHWESTERN HWY",
            "address_2": "STE 301",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 ORCHARD LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223403",
            "telephone_number": "248-626-1111",
            "fax_number": "248-626-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BLOOMFIELD MARKET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "248-706-1600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2372489",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plum Market Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in West Bloomfield, MI
• Providers in West Bloomfield, 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 May 21, 2009; 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.