NPIMap

Organization Active NPI

Food Value & Pharmacy Corp

Doing business as wackerly pharmacy

  • Long Term Care Pharmacy
  • Auburn, MI
National Provider Identifier
1396387239
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FOOD VALUE & PHARMACY CORP
Doing business as
wackerly pharmacy
Practice address
957 W Midland Rd
Auburn, MI 48611-9406
Phone
(989) 662-7773
Fax
(989) 662-7778
NPI assigned
Oct 11, 2019
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Chandresh AminNPI 1881832160
Title
President
Phone
(989) 755-7890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

957 W Midland Rd
Auburn, MI 48611-9406

Mailing address

957 W Midland Rd
Auburn, MI 48611-9406
Phone (989) 662-7773

Other names 1

  • wackerly pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Food Value Pharmacy Corp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

957 W Midland Rd
Auburn, MI 48611
Phone (989) 662-7773

Practitioners & affiliated clinicians

Practitioners 2

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": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1396387239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 W MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119406",
            "telephone_number": "989-662-7773",
            "fax_number": "989-662-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 W MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119406",
            "telephone_number": "989-662-7773",
            "fax_number": "989-662-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOD VALUE & PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "CHANDRESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-755-7890"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wackerly pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.