Livonia Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010434 Issued in MI

Legal business name

LIVONIA PHARMACY LLC

Doing business as

livonia pharmacy

Practice address

17888 Farmington Rd
Livonia, MI 48152-3104

Phone

(734) 744-8110

Fax

(734) 744-8114

NPI assigned

May 14, 2014

Organization subpart

Yes

Parent organization

LIVONIA PHARMACYAs reported in NPPES

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

Authorized official

Name

Rosaiah Kavuri, PHARMACISTNPI 1366917148

Title

Pharmacy Manager

Phone

(734) 744-8110

Specialties & licenses 1

Addresses

Other names 1

• livonia pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Part of

Livonia Pharmacy LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosaiah Kavuri, RPH

  • Pharmacist
  • Livonia, MI
  • NPI 1366917148
  NPD Authorized official

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1417368267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17888 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "734-744-8110",
            "fax_number": "734-744-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17888 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "734-744-8110",
            "fax_number": "734-744-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVONIA PHARMACY",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "KAVURI",
        "authorized_official_first_name": "ROSAIAH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "734-744-8110",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "livonia pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Livonia Medical Center, P.C.
• Livonia Opco LLC (Medilodge of Livonia)
• Livonia Ophthalmologists PC
• Livonia Outpatient Surgery Center, LLC
• Livonia Palliative Care P.L.L.C.
• Livonia Public Schools School District
• Livonia Radiology Group PC
• Livonia Sleep Center LLC
• Livonia Sleep Solutions PLLC
• Livonia Smiles Dental Center

• Community/Retail Pharmacy in Livonia, MI
• Providers in Livonia, 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 May 14, 2014; 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.