Grand Blanc Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRAND BLANC PHARMACY LLC

Practice address

2227 E Hill Rd
Grand Blanc, MI 48439-5000

Phone

(810) 498-9098

NPI assigned

Jan 24, 2021

Organization subpart

No

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

Authorized official

Name

Kaushal Patel, PHARMACIST

Title

Director

Phone

(810) 498-9098

Specialties & licenses 2

Addresses

Other names 1

• Grand Blanc Pharmacy Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Sean Hamilton

  • Pharmacist
  • Grand Blanc, MI
  • NPI 1720276280
  NPD

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1366032328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395000",
            "telephone_number": "810-498-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395000",
            "telephone_number": "810-498-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAUSHAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "810-498-9098",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "grandblancpharmacy@gmail.com",
            "affiliation": "N",
            "address_1": "2227 E Hill Rd",
            "city": "Grand Blanc",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484395000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grand Blanc Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Grand Blanc, MI
• Providers in Grand Blanc, 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 Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.