Mi Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010421 Issued in MI

Legal business name

MI CARE PHARMACY LLC

Practice address

30711 Utica Rd
Roseville, MI 48066-1522

Phone

(586) 447-8777

Fax

(586) 447-8902

NPI assigned

Apr 24, 2014

Last updated

Oct 5, 2015By 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

Sujata Gaidhane

Title

Owner

Phone

(586) 215-2892

Specialties & licenses 1

Addresses

Tax ID family

Mi Care Pharmacy II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mi Care Pharmacy LLC

  dba Mi Care Pharmacy II

  • Community/Retail Pharmacy
  • Mount Clemens, MI
  • NPI 1003295569
  NPD tax ID

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1427478833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30711 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661522",
            "telephone_number": "586-447-8777",
            "fax_number": "586-447-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30711 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661522",
            "telephone_number": "586-447-8777",
            "fax_number": "586-447-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "GAIDHANE",
        "authorized_official_first_name": "SUJATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-215-2892"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Roseville, MI
• Providers in Roseville, 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 5, 2015; 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.