Organization Active NPI

Garfield Pharmacy Inc

  • Community/Retail Pharmacy
  • Clinton Township, MI
National Provider Identifier
1740398486
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009005 Issued in MI
Legal business name
GARFIELD PHARMACY INC
Practice address
42645 Garfield Rd
Ste 102
Clinton Township, MI 48038-5022
Phone
(586) 416-1100
Fax
(586) 416-1101
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Insaf Fadlallah
Title
Pres
Phone
(586) 416-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009005 MI Primary

Addresses

Primary practice location

42645 Garfield Rd
Ste 102
Clinton Township, MI 48038-5022

Mailing address

42645 Garfield Rd
Ste 102
Clinton Township, MI 48038-5022
Phone (586) 416-1100

Other identifiers 2

IdentifierTypeStateIssuer
2360890OtherNCPDP PROVIDER IDENTIFICATION NUMBER
4173987MedicaidMI

Other names 1

  • GARFIELD PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1740398486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42645 GARFIELD RD",
            "address_2": "STE 102",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385022",
            "telephone_number": "586-416-1100",
            "fax_number": "586-416-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42645 GARFIELD RD",
            "address_2": "STE 102",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385022",
            "telephone_number": "586-416-1100",
            "fax_number": "586-416-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "FADLALLAH",
        "authorized_official_first_name": "INSAF",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "586-416-1100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2360890",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4173987",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARFIELD PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.