Active NPI
Farmington Drugs LLC
- Community/Retail Pharmacy
- Livonia, MI
National Provider Identifier
1417285404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301009250
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2122889 | Other | PK |
Other names 1
- Farmington Drugs and Medical Supplies
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Drugs
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Livonia, MI
- NPI 1578347381
-
- Long Term Care Pharmacy
- Livonia, MI
- NPI 1093456329
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.