Mykal Discount Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009423 Issued in MI

Legal business name

MYKAL DISCOUNT PHARMACY

Practice address

1101 E Walton Blvd
Pontiac, MI 48340-1591

Phone

(678) 508-2178

Fax

(313) 864-7607

NPI assigned

Sep 23, 2010

Organization subpart

Yes

Parent organization

MYKAL DISCOUNT PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Dr. Michael O Madu, MASTERS

Title

Pharmacist

Phone

(678) 508-2178

Specialties & licenses 1

Addresses

Other names 1

• n/a Former legal business name

Tax ID family

Mykal Discount Pharmacy2 organizations share this tax ID, including this one

Part of

Mykal Discount Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mykal Discount Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1043549223
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mykal Discount Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1043549223
  NPPES parent name

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1780992750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E WALTON BLVD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401591",
            "telephone_number": "678-508-2178",
            "fax_number": "313-864-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E WALTON BLVD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401591",
            "telephone_number": "678-508-2178",
            "fax_number": "313-864-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYKAL DISCOUNT PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYKAL DISCOUNT PHARMACY LLC",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "MADU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "678-508-2178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MASTERS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Angela Mullen, PA-C
• Muhammad Muneeb, M.D.
• Neeraja Tennoor Murali, DO, MPH
• Elle Murray
• Regina Murray
• Flavia Nabavighadi, NP
• Michael Naddaf, DO
• Shahzeb Nadeem, MD
• Sameer Sadanand Naik, M.D.
• Prami Nakarmi, MD

• Community/Retail Pharmacy in Pontiac, MI
• Providers in Pontiac, 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 Sep 23, 2010; 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.