NPIMap

Organization Active NPI

Prime Healthcare Services - Garden City, LLC

Doing business as Garden City Hospital Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Garden City, MI
National Provider Identifier
1477538056
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010549 Issued in MI
Legal business name
PRIME HEALTHCARE SERVICES - GARDEN CITY, LLC
Doing business as
Garden City Hospital Outpatient Pharmacy
Practice address
6255 Inkster Rd
Ste 106
Garden City, MI 48135-2577
Phone
(734) 458-4224
Fax
(734) 421-8407
NPI assigned
Dec 7, 2005
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Lita Regan
Title
Manager
Phone
(734) 458-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301010549 MI Primary

Addresses

Primary practice location

6255 Inkster Rd
Ste 106
Garden City, MI 48135-2577

Mailing address

6255 Inkster Rd
Ste 106
Garden City, MI 48135-2577
Phone (734) 458-4224

Other identifiers 1

IdentifierTypeStateIssuer
2154384OtherPK

Other names 1

  • Garden City Hospital Outpatient Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Services - Garden City LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

6255 Inkster Rd
Ste 106
Garden City, MI 48135
Phone (734) 458-4224

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": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1477538056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "STE 106",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-458-4224",
            "fax_number": "734-421-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "STE 106",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-458-4224",
            "fax_number": "734-421-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES - GARDEN CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "LITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-458-4224"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden City Hospital Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.