Taylor City Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010929 Issued in MI

Legal business name

TAYLOR CITY PHARMACY INC

Doing business as

Taylor City Pharmacy

Practice address

23268 Ecorse Rd
Taylor, MI 48180-1769

Phone

(313) 395-2120

Fax

(313) 395-2116

NPI assigned

May 18, 2016

Last updated

Sep 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Haidar

Title

RPH

Phone

(313) 395-2120

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TAYLOR CITY PHARMACY Doing business as

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1801243050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23268 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801769",
            "telephone_number": "313-395-2120",
            "fax_number": "313-395-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23268 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801769",
            "telephone_number": "313-395-2120",
            "fax_number": "313-395-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "313-395-2120"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAYLOR CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Tashakor, PHARMD
• Lanita Denise Tate, MSW
• Tay Rex LLC (Rexall Taylor Pharmacy)
• Taylor 2 Opco, LLC (The Lodge at Taylor)
• Taylor City Pharmacy Group LLC
• Taylor Community Pharmacy LLC
• Taylor Discount Pharmacy
• Taylor Drug Rehab Center PC (Taylor Medical Center)
• Taylor Drug Rehab Center PC
• Taylor Medical Center LLC

• Community/Retail Pharmacy in Taylor, MI
• Providers in Taylor, 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 13, 2021; 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.