Organization Active NPI

Erp Drugs, Inc

Doing business as Bloomfield Pharmacy

  • Community/Retail Pharmacy
  • Bloomfield Hills, MI
National Provider Identifier
1760533939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006011 Issued in MI
Legal business name
ERP DRUGS, INC
Doing business as
Bloomfield Pharmacy
Practice address
2520 S Telegraph Rd
Suite 100
Bloomfield Hills, MI 48302-0285
Phone
(248) 333-1130
Fax
(248) 333-1133
NPI assigned
Jan 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edmund Rudolph Pascua, R.PH.
Title
President
Phone
(248) 333-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301006011 MI Primary

Addresses

Primary practice location

2520 S Telegraph Rd
Suite 100
Bloomfield Hills, MI 48302-0285

Mailing address

2520 S Telegraph Rd
Suite 100
Bloomfield Hills, MI 48302-0285
Phone (248) 333-1130

Other identifiers 1

IdentifierTypeStateIssuer
2352639MedicaidMI

Other names 1

  • Bloomfield Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2520 S Telegraph Rd
Ste 100
Bloomfield Hills, MI 48302
Phone (248) 335-9207

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760533939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020285",
            "telephone_number": "248-333-1130",
            "fax_number": "248-333-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020285",
            "telephone_number": "248-333-1130",
            "fax_number": "248-333-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERP DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASCUA",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-333-1130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2352639",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.