Port Huron Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PORT HURON PHARMACY, LLC

Practice address

515 10TH St
Port Huron, MI 48060-4404

Phone

(810) 989-5990

Fax

(810) 989-5992

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Ankur PatelNPI 1245636091

Title

Owner

Phone

(248) 632-8182

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Saveon RX Pharmacy Inc

  • Community/Retail Pharmacy
  • Mount Clemens, MI
  • NPI 1548804768

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ankur Patel, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Macomb, MI
  • NPI 1245636091
  NPD (past) Authorized official
• Halah S Billy, PHARMD

  • Pharmacist
  • Port Huron, MI
  • NPI 1043015803
  NPD (past)

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1629341102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 10TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604404",
            "telephone_number": "810-989-5990",
            "fax_number": "810-989-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 10TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604404",
            "telephone_number": "810-989-5990",
            "fax_number": "810-989-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT HURON PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-632-8182",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Huron Hospital Crna Billing, LLC
• Port Huron Internal Medicine
• Port Huron Internal Medicine Associates
• Port Huron Mercy Family Care Inc
• Port Huron Ophthalmology, PLLC
• Port Huron Vascular Clinic PC
• Ramona Dolores Portis, CASE MANAGER-CAC-M
• Emily Amanda Porzondek, PMHNP
• Jadean Ireland Potter, LMSW
• Damion Powell

• Community/Retail Pharmacy in Port Huron, MI
• Providers in Port Huron, 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 Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.