Shirak Vartanyan, PHARM

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302047675 Issued in MI

Practice address

30040 Ford Rd
Garden City, MI 48135-2369

Phone

(734) 469-2310

Fax

(734) 469-2309

NPI assigned

Mar 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mi Pharmacy LLC

  • Community/Retail Pharmacy
  • Garden City, MI
  • NPI 1437747110
  NPD

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1306421706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30040 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352369",
            "telephone_number": "734-469-2310",
            "fax_number": "734-469-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30040 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352369",
            "telephone_number": "734-469-2310",
            "fax_number": "734-469-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTANYAN",
        "first_name": "SHIRAK",
        "credential": "PHARM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302047675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Unruh
• Siddhi Upadhyaya
• Urgent Care One PLLC
• Urgent Care One, PLLC
• Abhishek Babulal Vadher, MD
• Lakshmi Sai Deepak Reddy Velugoti
• Ashwin Philip Verghese, MD
• Ryan Victor, DO
• Vitality Visiting Physicians, PLLC
• Melissa Voydanoff

• Pharmacist in Garden City, MI
• Providers in Garden City, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.