Highland Road Plaza LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301001291 Issued in MI

Legal business name

HIGHLAND ROAD PLAZA LLC

Doing business as

Mike Pharmacy

Practice address

213 W Main St
Morenci, MI 49256-1420

Phone

(517) 458-2261

Fax

(517) 458-7758

NPI assigned

Jan 4, 2007

Last updated

Feb 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gebre Ashebir

Title

Manager

Phone

(571) 274-1037

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 3

• Mike Pharmacy Doing business as
• Jai Chamunda, inc Former legal business name
• jai chamunda morenci, Inc Former legal business name

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1407903560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6479 WYNDHAM DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221070",
            "telephone_number": "517-458-2261",
            "fax_number": "517-458-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W MAIN ST",
            "city": "MORENCI",
            "state": "MI",
            "postal_code": "492561420",
            "telephone_number": "517-458-2261",
            "fax_number": "517-458-7758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 W Main St",
            "address_purpose": "LOCATION",
            "city": "Morenci",
            "state": "MI",
            "postal_code": "492561420",
            "country_code": "US",
            "telephone_number": "517-458-2261",
            "fax_number": "517-458-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGHLAND ROAD PLAZA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "ASHEBIR",
        "authorized_official_first_name": "GEBRE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-274-1037"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301001291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MI3179",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2334794",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jai Chamunda, inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "jai chamunda morenci, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allen C Beck, DC
• City of Morenci (Morenci Area EMS)
• Family Medical Center of Michigan, Inc (Morenci School District)
• Family Medical Center of Michigan,Inc (Family Medical Center-Morenci Elementary School)
• William J Gray, MD
• Morenci Medical Assoc PC
• Carrie Murphy, BSW
• Jeffrey A. Robichaud, D.D.S.
• Lance Matthew Shaffer, D.C.
• Shivaprasad K Shetty, M.D.

• Community/Retail Pharmacy in Morenci, MI
• Providers in Morenci, 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 Feb 17, 2025; 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.