Onecare Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301009101 Issued in MI

Legal business name

ONECARE PHARMACY LLC

Doing business as

onecare pharmacy

Practice address

1744 W Maple Rd
Ste B
Birmingham, MI 48009-1545

Phone

(248) 361-6868

Fax

(248) 817-2297

NPI assigned

Apr 7, 2009

Last updated

Oct 10, 2016By 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

Pierre Boutros, RPH

Title

Pharmacist/Owner

Phone

(248) 361-6868

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• onecare pharmacy Doing business as

Locations

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1356584346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480121239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 W MAPLE RD",
            "address_2": "STE B",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091545",
            "telephone_number": "248-361-6868",
            "fax_number": "248-817-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONECARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "BOUTROS",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "248-361-6868",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301009101",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "onecare pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Birmingham, MI
• Providers in Birmingham, 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 Oct 10, 2016; 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.