Active NPI
Garfield Pharmacy Inc
- Community/Retail Pharmacy
- Clinton Township, MI
National Provider Identifier
1740398486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301009005
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2360890 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 4173987 | Medicaid | MI |
Other names 1
- GARFIELD PHARMACY INC
National Provider Directory
National Provider DirectoryNPI 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.