NPIMap

Organization Active NPI

GPS of Michigan Institutional Pharmacy LLC

  • Pharmacotherapy Pharmacist
  • Lansing, MI
National Provider Identifier
1659337160
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
5301007720 Issued in MI
Legal business name
GPS OF MICHIGAN INSTITUTIONAL PHARMACY LLC
Practice address
5635 Commerce St
Suite C
Lansing, MI 48911-5347
Phone
(517) 882-5515
Fax
(517) 882-6313
NPI assigned
Apr 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Fredrick Ghannam, R.PH.
Title
Ceo, Owner
Phone
(248) 895-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P1200X 5301007720 MI Primary

Addresses

Primary practice location

5635 Commerce St
Suite C
Lansing, MI 48911-5347

Mailing address

PO Box 993
Novi, MI 48376-0993
Phone (517) 882-5515

Other identifiers 1

IdentifierTypeStateIssuer
5301007720OtherMISTATE LICENSE NUMBER

Other names 1

  • GPS of Michigan Institutional Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GPS of Michigan Institutional2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5635 Commerce St
Ste C
Lansing, MI 48911
Phone (517) 882-5515

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1659337160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 993",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483760993",
            "telephone_number": "517-882-5515",
            "fax_number": "248-449-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 COMMERCE ST",
            "address_2": "SUITE C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115347",
            "telephone_number": "517-882-5515",
            "fax_number": "517-882-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPS OF MICHIGAN INSTITUTIONAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GHANNAM",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "248-895-3784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5301007720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5301007720",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GPS of Michigan Institutional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.