M & D Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301003852 Issued in MI

Legal business name

M & D PHARMACY INC.

Doing business as

m & d pharmacy

Practice address

14525 Mack Ave
Detroit, MI 48215-2520

Phone

(313) 881-2890

Fax

(313) 881-3124

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mary Ann Frazier, RPHNPI 1609068279

Title

President

Phone

(313) 881-2890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• m & d pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Mary Ann Frazier, RPH.

  • Pharmacist
  • Detroit, MI
  • NPI 1609068279
  NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1720173693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14525 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152520",
            "telephone_number": "313-881-2890",
            "fax_number": "313-881-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152520",
            "telephone_number": "313-881-2890",
            "fax_number": "313-881-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & D PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-881-2890",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301003852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1968388",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M & D Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "m & d pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynn Lyons, M.S.
• Jessica A Lyons
• Sametta Lyons
• Stephen Lyons
• Sebastian Andrew Lyos
• M & M Discount Drugs PLLC
• M & N Cola Inc.
• Shantell M M Jackson
• M Medical Group - W PLLC
• M Medical Mi PLLC

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.