Flat Rock Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009376 Issued in MI

Legal business name

FLAT ROCK FAMILY PHARMACY LLC

Doing business as

Flat Rock Family Pharmacy

Practice address

25620 Gibraltar Rd
Flat Rock, MI 48134-1243

Phone

(734) 789-8950

Fax

(734) 789-8956

NPI assigned

Jun 17, 2010

Organization subpart

No

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

Authorized official

Name

Rahul Kochhar

Title

Owner

Phone

(803) 629-5197

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• FLAT ROCK FAMILY PHARMACY Doing business as

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1588985105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25620 GIBRALTAR RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341243",
            "telephone_number": "734-789-8950",
            "fax_number": "734-789-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25620 GIBRALTAR RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341243",
            "telephone_number": "734-789-8950",
            "fax_number": "734-789-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAT ROCK FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "KOCHHAR",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-629-5197"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009376",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLAT ROCK FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Flat Rock, MI
• Providers in Flat Rock, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.