Organization Active NPI

Brothers Pharmacy Inc

  • Community/Retail Pharmacy
  • Flint, MI
National Provider Identifier
1619107158
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009152 Issued in MI
Legal business name
BROTHERS PHARMACY INC
Doing business as
brothers pharmacy
Practice address
118 W Pierson Rd
Flint, MI 48505-3348
Phone
(810) 785-7770
Fax
(810) 785-7700
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Chandulal Patel
Title
Manager
Phone
(810) 410-8461

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301009152 MI Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

118 W Pierson Rd
Flint, MI 48505-3348

Mailing address

118 W Pierson Rd
Flint, MI 48505-3348
Phone (810) 410-8461

Other identifiers 2

IdentifierTypeStateIssuer
2121093OtherPK
1619107158MedicaidMI

Other names 1

  • brothers pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140328000167 MI DME Supplier - Pharmacy 8729219118 Practice locations: Flint, MI
O20201029000396 MI Part B Supplier - Mass Immunization (Roster Biller Only) 8729219118 Practice locations: Flint, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brothers Pharmacy Inc118 W Pierson Rd, Flint, MI 48505-3348(810) 785-7770 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 27, 2013

National Provider Directory

National Provider Directory

Locations

118 W Pierson Rd
Flint, MI 48505
Phone (810) 785-7770

Practitioners & affiliated clinicians

Practitioners 1

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": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1619107158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485053348",
            "telephone_number": "810-410-8461",
            "fax_number": "810-785-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485053348",
            "telephone_number": "810-785-7770",
            "fax_number": "810-785-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHANDULAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "810-410-8461"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009152",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121093",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619107158",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brothers pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "brothers pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.