NPIMap

Organization Active NPI

Om Shri Corporation

  • Pharmacy
  • North Branch, MI
National Provider Identifier
1366501504
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5301007648 Issued in MI
Legal business name
OM SHRI CORPORATION
Practice address
6002 N Lapeer Rd
North Branch, MI 48461-9730
Phone
(810) 793-5006
Fax
(810) 793-5101
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Mr. Nutan Motichand Shah, R PHNPI 1144389305
Title
Officer
Phone
(810) 793-5006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301007648 MI Primary

Addresses

Primary practice location

6002 N Lapeer Rd
North Branch, MI 48461-9730

Mailing address

6002 N Lapeer Rd
North Branch, MI 48461-9730
Phone (810) 793-5006

Other identifiers 2

IdentifierTypeStateIssuer
2356156MedicaidMI
2356156OtherNABP#

Other names 1

  • bryans corner pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1366501504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 N LAPEER RD",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484619730",
            "telephone_number": "810-793-5006",
            "fax_number": "810-793-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 N LAPEER RD",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484619730",
            "telephone_number": "810-793-5006",
            "fax_number": "810-793-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM SHRI CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NUTAN",
        "authorized_official_middle_name": "MOTICHAND",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "810-793-5006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301007648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2356156",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "2356156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bryans corner pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.