Mackinaw Street Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MACKINAW STREET PHARMACY LLC

Practice address

2125 Marshall CT
Saginaw, MI 48602-3343

Phone

(989) 272-3453

Fax

(866) 207-4431

NPI assigned

Jan 30, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Murali Chand Ginjupalli

Title

President

Phone

(989) 270-1930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veni Jhansi Peram, M.D

  • Nephrology Physician
  • Saginaw, MI
  • NPI 1316178718
  NPD

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1831842996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 MARSHALL CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023343",
            "telephone_number": "989-270-1930",
            "fax_number": "989-244-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 MARSHALL CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023343",
            "telephone_number": "989-272-3453",
            "fax_number": "866-207-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKINAW STREET PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "GINJUPALLI",
        "authorized_official_first_name": "MURALI",
        "authorized_official_middle_name": "CHAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-270-1930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawanda Machamire
• Savannah Machul
• William David Macinnes, PH.D.
• Sonya Ann Mack, RD, CNSD
• Holly Mackay
• Mackinaw Surgery Center LLC
• Kathryn Christin Mackinnon
• Katharine E Macmillan, DO
• Marcus Macnealy, MD
• Grace Elizabeth Macomber, MSW

• Community/Retail Pharmacy in Saginaw, MI
• Providers in Saginaw, 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 Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.