Organization Active NPI

Clio Community Pharmacy Inc

Doing business as Clio Community Pharmacy

  • Long Term Care Pharmacy
  • Clio, MI
National Provider Identifier
1649027434
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CLIO COMMUNITY PHARMACY INC
Doing business as
Clio Community Pharmacy
Practice address
4180 W Vienna Rd Ste 4
Clio, MI 48420-9497
Phone
(810) 547-7201
Fax
(810) 309-9075
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Ronald Todd FoskettNPI 1629368832
Title
Pharmacist in Charge
Phone
(810) 547-7201

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4180 W Vienna Rd Ste 4
Clio, MI 48420-9497

Mailing address

4180 W Vienna Rd Ste 4
Clio, MI 48420-9497
Phone (810) 547-7201

Other names 1

  • Clio Community Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4180 W Vienna Rd
Ste 4
Clio, MI 48420
Phone (810) 309-3098

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.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1649027434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 W VIENNA RD STE 4",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209497",
            "telephone_number": "810-547-7201",
            "fax_number": "810-309-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 W VIENNA RD STE 4",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209497",
            "telephone_number": "810-547-7201",
            "fax_number": "810-309-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIO COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "FOSKETT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "810-547-7201"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clio Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.