Organization Active NPI

Princes Pharmacy LLC

  • Community/Retail Pharmacy
  • Lincoln Park, MI
National Provider Identifier
1356737035
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRINCES PHARMACY LLC
Practice address
26190 Outer Dr
Suite 120
Lincoln Park, MI 48146-2084
Phone
(313) 887-7443
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Duman Sergey
Title
Owner
Phone
(609) 772-1314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X MI Primary

Addresses

Primary practice location

26190 Outer Dr
Suite 120
Lincoln Park, MI 48146-2084

Mailing address

26190 Outer Dr Ste 120
Lincoln Park, MI 48146-2084
Phone (313) 887-7443

National Provider Directory

National Provider Directory
Tax ID family
Princes Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

26190 Outer Dr
#120
Lincoln Park, MI 48146
Phone (313) 887-7443

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1356737035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26190 OUTER DR STE 120",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462084",
            "telephone_number": "313-887-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26190 OUTER DR",
            "address_2": "SUITE 120",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462084",
            "telephone_number": "313-887-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "SERGEY",
        "authorized_official_first_name": "DUMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-772-1314"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

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