Active NPI
Pontiac General Hospital Pharmacy Inc.
- Institutional Pharmacy
- Pontiac, MI
National Provider Identifier
1609461912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- Legal business name
- PONTIAC GENERAL HOSPITAL PHARMACY INC.
- Practice address
- 461 W Huron St Ste 111
Pontiac, MI 48341-1601 - Phone
- (248) 859-0020
- Fax
- (248) 859-0025
- NPI assigned
- Mar 8, 2021
- Last updated
- Mar 8, 2021
- 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
- Mansoor Khan, PHARM. D.
- Title
- Pharmacist-in-Charge/Owner
- Phone
- (586) 596-4198
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | NU | ||
| Institutional Pharmacy | 3336I0012X | NU | Primary |
Addresses
Primary practice location
461 W Huron St Ste 111
Pontiac, MI 48341-1601
Mailing address
461 W Huron St Ste 111
Pontiac, MI 48341-1601
Phone (248) 859-0020
National Provider Directory
National Provider Directory- Tax ID family
- Pontiac General Hospital Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Pontiac, MI
- NPI 1568954014
Locations
461 W Huron St
Ste 111
Pontiac, MI 48341
Phone (248) 221-7730
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
- Chesterfield, MI
- NPI 1992090559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615161600000",
"number": "1609461912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 W HURON ST STE 111",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483411601",
"telephone_number": "248-859-0020",
"fax_number": "248-859-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 W HURON ST STE 111",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483411601",
"telephone_number": "248-859-0020",
"fax_number": "248-859-0025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PONTIAC GENERAL HOSPITAL PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MANSOOR",
"authorized_official_title_or_position": "PHARMACIST-IN-CHARGE/OWNER",
"authorized_official_telephone_number": "586-596-4198",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
- Pontiac General Hospital and Medical Centers (North Oakland Medical Centers)
- Pontiac General Hospital and Medical Centers (North Oakland Medical Centers)
- Pontiac General Hospital and Medical Centers (North Oakland Medical Centers)
- Pontiac General Hospital and Medical Centers (North Oakland Medical Centers)
- Pontiac General Hospital Pharmacy Inc.
- Pontiac Labs, LLC
- Pontiac Osteopathic Hospital
- Pontiac Pharmacy LLC (Pontiac Pharmacy)
- Christina Poponea, NP
- Elizabeth Popovski, M.D. M.SC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.