NPIMap

Organization Active NPI

Huntsman I, LLC

Doing business as Northline Drugs

  • Community/Retail Pharmacy
  • Southgate, MI
National Provider Identifier
1386752749
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5315071062 Issued in MI
Legal business name
HUNTSMAN I, LLC
Doing business as
Northline Drugs
Practice address
13894 Northline Rd
Southgate, MI 48195
Phone
(734) 285-9496
Fax
(734) 285-9498
NPI assigned
Aug 27, 2006
Last updated
Oct 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Mrs. Rita M Florkowski, RPHNPI 1154471761
Title
Pharmacist in Charge
Phone
(734) 285-9496

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5315071062 MI
Community/Retail Pharmacy 3336C0003X 5315071062 MI Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

13894 Northline Rd
Southgate, MI 48195

Mailing address

13894 Northline Rd
Southgate, MI 48195
Phone (734) 285-9496

Other identifiers 2

IdentifierTypeStateIssuer
2307610OtherOTHER ID NUMBER
2307610MedicaidMI

Other names 1

  • Northline Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

13894 Northline Rd
Southgate, MI 48195
Phone (734) 285-9496

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1386752749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13894 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "48195",
            "telephone_number": "734-285-9496",
            "fax_number": "734-285-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13894 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "48195",
            "telephone_number": "734-285-9496",
            "fax_number": "734-285-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSMAN I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "FLORKOWSKI",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "734-285-9496",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5315071062",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5315071062",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2307610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2307610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northline Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.