Organization Active NPI

Farmington Drugs LLC

  • Community/Retail Pharmacy
  • Livonia, MI
National Provider Identifier
1417285404
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009250 Issued in MI
Legal business name
FARMINGTON DRUGS LLC
Practice address
20434 Farmington Rd
Livonia, MI 48152-1416
Phone
(248) 478-3922
Fax
(248) 478-3923
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Naif Bazzi, PHARMD
Title
Owner/ Pic
Phone
(248) 478-3922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009250 MI Primary

Addresses

Primary practice location

20434 Farmington Rd
Livonia, MI 48152-1416

Mailing address

20434 Farmington Rd
Livonia, MI 48152-1416
Phone (248) 478-3922

Other identifiers 1

IdentifierTypeStateIssuer
2122889OtherPK

Other names 1

  • Farmington Drugs and Medical Supplies Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220606002839 MI Part B Supplier - Pharmacy 3375921208 Practice locations: Livonia, MI
O20240417001921 MI DME Supplier - Pharmacy 3375921208 Practice locations: Livonia, MI
O20260504006567 MI Part B Supplier - Mass Immunization (Roster Biller Only) 3375921208 Practice locations: Livonia, MI

National Provider Directory

National Provider Directory
Tax ID family
Farmington Drugs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1417285404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20434 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521416",
            "telephone_number": "248-478-3922",
            "fax_number": "248-478-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20434 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521416",
            "telephone_number": "248-478-3922",
            "fax_number": "248-478-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "NAIF",
        "authorized_official_title_or_position": "OWNER/ PIC",
        "authorized_official_telephone_number": "248-478-3922",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122889",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Drugs and Medical Supplies",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.