Index Meds Pharmacy No-2 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010674 Issued in MI

Legal business name

INDEX MEDS PHARMACY NO-2 LLC

Practice address

1475 Ford Ave
Wyandotte, MI 48192-3825

Phone

(248) 267-6534

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Sunitha Atluri

Title

Owner

Phone

(248) 267-6534

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Index Meds Pharmacy No-2 LLC Doing business as

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1518348366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HADSELL DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020408",
            "telephone_number": "248-267-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923825",
            "telephone_number": "248-267-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEX MEDS PHARMACY NO-2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "ATLURI",
        "authorized_official_first_name": "SUNITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-267-6534"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Index Meds Pharmacy No-2 LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Wyandotte, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.