Organization Active NPI

Adam Livonia Inc

Doing business as LifeCare Pharmacy

  • Long Term Care Pharmacy
  • Livonia, MI
National Provider Identifier
1831203728
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
5301008402 Issued in MI
Legal business name
ADAM LIVONIA INC
Doing business as
LifeCare Pharmacy
Practice address
8810 Middlebelt Rd
Livonia, MI 48150-4052
Phone
(734) 261-4400
Fax
(734) 261-4803
NPI assigned
Aug 18, 2006
Last updated
May 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Wansa Makki
Title
Owner
Phone
(313) 231-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 5301008402 MI Primary

Addresses

Primary practice location

8810 Middlebelt Rd
Livonia, MI 48150-4052

Mailing address

8810 Middlebelt Rd
Livonia, MI 48150-4052
Phone (734) 261-4400

Other identifiers 2

IdentifierTypeStateIssuer
4936548MedicaidMI
2368480OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • LifeCare Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

17874 Farmington Rd
Livonia, MI 48152
Phone (734) 261-4400

8810 Middlebelt Rd
Livonia, MI 48150
Phone (734) 261-4400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1831203728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504052",
            "telephone_number": "734-261-4400",
            "fax_number": "734-261-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504052",
            "telephone_number": "734-261-4400",
            "fax_number": "734-261-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM LIVONIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "MAKKI",
        "authorized_official_first_name": "WANSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-231-2262"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301008402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4936548",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2368480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.