Active NPI
Marysville Family Pharmacy LLC
- Community/Retail Pharmacy
- Marysville, MI
National Provider Identifier
1568366946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MARYSVILLE FAMILY PHARMACY LLC
- Practice address
- 1750 Gratiot Blvd
Marysville, MI 48040-1182 - Phone
- (313) 778-1013
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Tlais
- Title
- Pic
- Phone
- (313) 778-1013
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1750 Gratiot Blvd
Marysville, MI 48040-1182
Mailing address
1750 Gratiot Blvd
Marysville, MI 48040-1182
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.
-
- Pharmacist
- Dearborn Heights, MI
- NPI 1871497248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1568366946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 GRATIOT BLVD",
"city": "MARYSVILLE",
"state": "MI",
"postal_code": "480401182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 GRATIOT BLVD",
"city": "MARYSVILLE",
"state": "MI",
"postal_code": "480401182",
"telephone_number": "313-778-1013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYSVILLE FAMILY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "TLAIS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "313-778-1013"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.