GPS of Michigan Institutional

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301007720 Issued in MI

Legal business name

GPS OF MICHIGAN INSTITUTIONAL

Doing business as

GPS of Michigan Institutional

Practice address

1201 Keystone Ave
Ste a
Lansing, MI 48911-4041

Phone

(517) 882-5515

Fax

(517) 882-6313

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Fred Ghannam, R PH

Title

Ceo Owner

Phone

(517) 882-5515

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• GPS OF MICHIGAN INSTITUTIONAL Doing business as

Tax ID family

GPS of Michigan Institutional2 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.

• GPS of Michigan Institutional Pharmacy LLC

  dba GPS of Michigan Institutional Pharmacy

  • Pharmacotherapy Pharmacist
  • Lansing, MI
  • NPI 1659337160
  NPD tax ID

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1457387185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 KEYSTONE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114041",
            "telephone_number": "517-882-5515",
            "fax_number": "517-882-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 KEYSTONE AVE",
            "address_2": "STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114041",
            "telephone_number": "517-882-5515",
            "fax_number": "517-882-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPS OF MICHIGAN INSTITUTIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "GHANNAM",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "517-882-5515",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301007720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2364937",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097325145",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2364937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GPS OF MICHIGAN INSTITUTIONAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Goulding, DO
• Kali Gove
• Kate Gove, LLMSW
• Lorena Govin, LLMSW
• GPS Guide to Personal Solutions
• GPS of Michigan Institutional Pharmacy LLC (GPS of Michigan Institutional Pharmacy)
• GPS, LLC (Medicine Shoppe)
• Christine Grabarek, RN
• Dean Grace, DO
• Madisyn Grace, MD

• Long Term Care Pharmacy in Lansing, MI
• Providers in Lansing, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.