Organization Active NPI

Laansa Drugs LLC

Doing business as Maplewood Pharmacy

  • Community/Retail Pharmacy
  • Bay City, MI
National Provider Identifier
1659390730
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301005017 Issued in MI
Legal business name
LAANSA DRUGS LLC
Doing business as
Maplewood Pharmacy
Practice address
920 N Johnson St
Bay City, MI 48708-6250
Phone
(989) 892-4531
Fax
(989) 892-0946
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Authorized official

Name
Mr. Murali Chand Ginjupalli, R.PH
Title
Vice President
Phone
(989) 892-4531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301005017 MI Primary

Addresses

Primary practice location

920 N Johnson St
Bay City, MI 48708-6250

Mailing address

920 N Johnson St
Bay City, MI 48708-6250
Phone (989) 892-4531

Other identifiers 1

IdentifierTypeStateIssuer
2344480MedicaidMI

Other names 1

  • Maplewood Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181203002805 MI Part B Supplier - Pharmacy 4789979972 Practice locations: Bay City, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Laansa Drugs LLC2 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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

920 N Johnson St
Bay City, MI 48708
Phone (989) 892-4531

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1659390730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N JOHNSON ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086250",
            "telephone_number": "989-892-4531",
            "fax_number": "989-892-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N JOHNSON ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086250",
            "telephone_number": "989-892-4531",
            "fax_number": "989-892-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAANSA DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "GINJUPALLI",
        "authorized_official_first_name": "MURALI",
        "authorized_official_middle_name": "CHAND",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "989-892-4531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301005017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.