Atlantic Medical Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ATLANTIC MEDICAL PHARMACY LLC

Doing business as

Atlantic Medical Pharmacy

Practice address

37300 Dequindre Rd
Suite 122
Sterling Heights, MI 48310

Phone

(586) 698-2264

Fax

(586) 698-2143

NPI assigned

Mar 7, 2012

Last updated

Jul 12, 2018By 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

Mr. Omosola Jim OyeneyinNPI 1457927089

Title

Pharmacist

Phone

(240) 997-1620

Specialties & licenses 1

Addresses

Other names 1

• ATLANTIC MEDICAL PHARMACY Doing business as

Locations

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.

• Omosola Oyeneyin

  • Pharmacist
  • Sterling Heights, MI
  • NPI 1457927089
  NPD Authorized official

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1346514395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD",
            "address_2": "SUITE 122",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103591",
            "telephone_number": "586-698-2264",
            "fax_number": "586-698-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD",
            "address_2": "SUITE 122",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-698-2264",
            "fax_number": "586-698-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "OYENEYIN",
        "authorized_official_first_name": "OMOSOLA",
        "authorized_official_middle_name": "JIM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "240-997-1620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Sterling Heights, MI
• Providers in Sterling Heights, 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 Jul 12, 2018; 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.