Gurukrupa Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008985 Issued in MI

Legal business name

GURUKRUPA PHARMACY LLC

Practice address

825 W 9 Mile Rd
Ferndale, MI 48220-1267

Phone

(248) 591-0050

Fax

(248) 591-0080

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Srinivas Pathuri

Title

Pharmacy Manager

Phone

(248) 591-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ferndale Community Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1396990396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201267",
            "telephone_number": "248-591-0050",
            "fax_number": "248-591-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201267",
            "telephone_number": "248-591-0050",
            "fax_number": "248-591-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURUKRUPA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "PATHURI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "248-591-0050"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2371918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ferndale Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gravitation Home Care, LLC
• Jacquis Leshay Gray, PA-C
• Roscoe Emrys Grey
• Dina Grodzinskiy, M.S., PA-C
• Guided Hope LLC
• Victoria Guster-Brown, LMSW
• Mackenzie Haglund, OTRL
• Shameka Hamilton
• Melissa Lynn Hammond
• Hands on Affects LLC

• Community/Retail Pharmacy in Ferndale, MI
• Providers in Ferndale, 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 Oct 23, 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.