Prescriptiongiant LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

021957250 Issued in OH

Legal business name

PRESCRIPTIONGIANT LLC

Practice address

1078 E Avon Rd
Ste 221
Rochester Hills, MI 48307-2424

Phone

(866) 499-1940

Fax

(248) 608-6418

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Tyrone Squires, MBA

Title

Owner

Phone

(866) 499-1940

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• PRESCRIPTIONGIANT Doing business as

Locations

Practitioners 1

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

• Michael Gladieux

  • Pharmacist
  • Toledo, OH
  • NPI 1043449044
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1639264229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CENTENNIAL RD STE G",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171800",
            "telephone_number": "866-499-1940",
            "fax_number": "248-608-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 E AVON RD",
            "address_2": "STE 221",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072424",
            "telephone_number": "866-499-1940",
            "fax_number": "248-608-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTIONGIANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-499-1940",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "OH",
            "license": "021957250",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366929",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2366929",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESCRIPTIONGIANT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Mail Order Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.