Park Med Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011302 Issued in MI

Legal business name

PARK MED PHARMACY LLC

Practice address

15200 Gratiot Ave
Detroit, MI 48205-1327

Phone

(313) 521-4000

Fax

(313) 521-4010

NPI assigned

Jan 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Auday Maki, RPH, PH.D

Title

Pharmacist/Owner

Phone

(313) 443-1781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516492800000",
    "number": "1396253696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45361 OAK FOREST DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684440",
            "telephone_number": "313-443-1781",
            "fax_number": "313-521-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051327",
            "telephone_number": "313-521-4000",
            "fax_number": "313-521-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MED PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-01-21",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "AUDAY",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "313-443-1781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH, PH.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Paritee, LLMSW
• Michelle Parizon
• Park Dental Care PC
• Park Dental Service, P.C.
• Park Family Health Care, P.C.
• Park Medical Pharmacy Inc
• Park Medical RX LLC
• Park Shelton Pharmacy
• Andrew Ji Hoon Park, MD
• Hakmin Park, M.D.

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 21, 2018; 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.