Grand Blanc Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010002 Issued in MI

Legal business name

GRAND BLANC COMMUNITY PHARMACY LLC

Doing business as

Grand Blanc Community Pharmacy

Practice address

12741 S Saginaw St Ste 802
Grand Blanc, MI 48439-2460

Phone

(810) 953-0710

Fax

(810) 953-0715

NPI assigned

Jul 17, 2012

Last updated

Apr 30, 2013By 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

Ahmed ZakiNPI 1518145093

Title

Ceo

Phone

(810) 720-2990

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Grand Blanc Community Pharmacy 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, and the practitioner matching its NPPES authorized official.

• Ahmed A Zaki, DPT

  • Physical Therapist
  • Flint, MI
  • NPI 1518145093
  Authorized official Same address or phone

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1659626646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323459",
            "telephone_number": "810-720-2990",
            "fax_number": "810-720-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 S SAGINAW ST STE 802",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392460",
            "telephone_number": "810-953-0710",
            "fax_number": "810-953-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "ZAKI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-720-2990"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010002",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Blanc Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Gowan, CD(DONA)
• Caroline Reid Grace
• Grand Blanc Adult Medicine PC
• Grand Blanc Care Center, LLC
• Grand Blanc Chiropractic LLC
• Grand Blanc Dental Center P.C. (Convenient Family Dentistry P.C.)
• Grand Blanc Eyes PLLC
• Grand Blanc Family Footcare, P.C.
• Grand Blanc Footcare Specialists, P.L.L.C.
• Grand Blanc Massage LLC (Hand and Stone)

• Community/Retail Pharmacy in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.