Organization Active NPI

Jay Gayatri Inc

  • Community/Retail Pharmacy
  • Sterling Heights, MI
National Provider Identifier
1477970903
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010432 Issued in MI
Legal business name
JAY GAYATRI INC
Practice address
2405 E 14 Mile Rd
Sterling Heights, MI 48310-5961
Phone
(586) 439-3550
Fax
(586) 646-2584
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Kanaiyalal Patel, RPHNPI 1023509171
Title
Manager/Pic
Phone
(586) 439-3550

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010432 MI Primary

Addresses

Primary practice location

2405 E 14 Mile Rd
Sterling Heights, MI 48310-5961

Mailing address

380 Ashlawn CT
Troy, MI 48083-6500
Phone (586) 439-3550

Other identifiers 1

IdentifierTypeStateIssuer
2144859OtherPK

Other names 1

  • CANAL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251001002166 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1052817707 Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1477970903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ASHLAWN CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836500",
            "telephone_number": "586-439-3550",
            "fax_number": "586-646-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 E 14 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105961",
            "telephone_number": "586-439-3550",
            "fax_number": "586-646-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY GAYATRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KANAIYALAL",
        "authorized_official_title_or_position": "MANAGER/PIC",
        "authorized_official_telephone_number": "586-439-3550",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.