Lifecare of Michigan, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301010697 Issued in MI

Legal business name

LIFECARE OF MICHIGAN, LLC

Doing business as

Lifecare Pharmacy of Michigan

Practice address

23580 Orchard Lake Rd
Farmington Hills, MI 48336-3241

Phone

(734) 261-4400

Fax

(734) 261-4803

NPI assigned

Jun 22, 2015

Last updated

Jun 22, 2015By 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

Mrs. Wansa Makki

Title

President

Phone

(313) 231-1141

Specialties & licenses 1

Addresses

Other names 1

• LIFECARE PHARMACY OF MICHIGAN Doing business as

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1306228721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23580 ORCHARD LAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363241",
            "telephone_number": "734-261-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23580 ORCHARD LAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363241",
            "telephone_number": "734-261-4400",
            "fax_number": "734-261-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE OF MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "MAKKI",
        "authorized_official_first_name": "WANSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-231-1141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301010697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFECARE PHARMACY OF MICHIGAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Farmington Hills, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.