Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009110 Issued in MI

Legal business name

FAMILY PHARMACY INC

Doing business as

Family Pharmacy

Practice address

21225 Kelly Rd
Ste. #1
Eastpointe, MI 48021-3100

Phone

(586) 778-8612

Fax

(586) 778-8615

NPI assigned

Mar 11, 2009

Organization subpart

No

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

Authorized official

Name

Liza Ekole

Title

President

Phone

(313) 268-0953

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1386885903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21225 KELLY RD",
            "address_2": "STE. #1",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21225 KELLY RD",
            "address_2": "STE. #1",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213100",
            "telephone_number": "586-778-8612",
            "fax_number": "586-778-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "EKOLE",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-268-0953"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2372516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Eastpointe, MI
• Providers in Eastpointe, 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 Jun 12, 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.