Mi Pharm LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301008682 Issued in MI

Legal business name

MI PHARM LLC

Practice address

32320 5 Mile Rd
Livonia, MI 48154-6109

Phone

(734) 744-4070

Fax

(866) 798-4070

NPI assigned

Aug 22, 2007

Last updated

Feb 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew J Mac, R.PH.NPI 1114193554

Title

Pharmacist in Charge

Phone

(734) 744-4070

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Andrew J Mac, R.PH.

  • Pharmacist
  • Livonia, MI
  • NPI 1114193554
  NPD Authorized official
• Ryan C Mac

  • Pharmacist
  • Livonia, MI
  • NPI 1134608078
  NPD

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1649463712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32320 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546109",
            "telephone_number": "734-744-4070",
            "fax_number": "734-744-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32320 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546109",
            "telephone_number": "734-744-4070",
            "fax_number": "866-798-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI PHARM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "MAC",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "734-744-4070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301008682",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042755",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE",
            "identifier": "5315231232",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BOARD OF PHARMACY LICENSE",
            "identifier": "5301012858",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Mexico, BS, RN
• Sierra Meyer
• Stephanie Meyers, MD
• Melanie Meza
• Mi Guide Team
• Mich Diagnostics P.L.C.
• Michael L. Flannery (Michigan Geriatric Care Management Services)
• Michael N Gamiao MD PC (Pulmonary and Sleep Medicine Associates of Livonia)
• Michael R Chaben DDS, PC
• Izabella Edyta Michalik, PMHNP-BC

• Long Term Care Pharmacy in Livonia, MI
• Providers in Livonia, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.