Organization Active NPI

Blooms Pharmacy LLC

  • Community/Retail Pharmacy
  • Livonia, MI
National Provider Identifier
1437609351
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011056 Issued in MI
Legal business name
BLOOMS PHARMACY LLC
Practice address
16347 Middlebelt Rd
Livonia, MI 48154-3360
Phone
(734) 469-4657
Fax
(888) 867-9794
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Ali CheaitoNPI 1962156539
Title
Pic
Phone
(734) 469-4657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301011056 MI Primary

Addresses

Primary practice location

16347 Middlebelt Rd
Livonia, MI 48154-3360

Mailing address

16347 Middlebelt Rd
Livonia, MI 48154-3360
Phone (734) 469-4657

National Provider Directory

National Provider Directory

Locations

16347 Middlebelt Rd
Livonia, MI 48154
Phone (734) 469-4657

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1437609351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16347 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543360",
            "telephone_number": "734-469-4657",
            "fax_number": "888-867-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16347 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543360",
            "telephone_number": "734-469-4657",
            "fax_number": "888-867-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "CHEAITO",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "734-469-4657"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 9, 2016; 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.