Manor Pharmacy & Surgical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5302026288 Issued in MI

Legal business name

MANOR PHARMACY & SURGICAL SUPPLY

Practice address

20853 Mack Ave
Grosse Pointe Woods, MI 48236-1456

Phone

(313) 881-4480

Fax

(313) 881-7449

NPI assigned

Aug 19, 2005

Organization subpart

No

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

Authorized official

Name

Michael Gerard Lebryk, PHARMACISTNPI 1043257371

Title

Pharmacist/Owner

Phone

(313) 881-4480

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Michael Gerard Lebryk, R.PH

  • Pharmacist
  • Grosse Pointe Woods, MI
  • NPI 1043257371
  NPD (past) Authorized official

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1376535864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20853 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361456",
            "telephone_number": "313-881-4480",
            "fax_number": "313-881-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20853 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361456",
            "telephone_number": "313-881-4480",
            "fax_number": "313-881-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR PHARMACY & SURGICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "LEBRYK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "313-881-4480",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5302026288",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Mach
• Kendra K Malcolm
• Andrew Manardo, MS, CCC-SLP
• Toni Marie Mancini, PA-C
• Mary A Mandziara, NP
• Lisa Allyn Manz Dulac, MD
• Marivic D. Massand MD,PLLC
• Danielle Marie Marken
• Pennie Marie Marko, CRNA
• Kayla Marlow

• Durable Medical Equipment & Medical Supplies in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.