Fenton Pharmacy RX Mi LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FENTON PHARMACY RX MI LLC

Practice address

305 N Leroy Street
Ste a
Fenton, MI 48430

Phone

(810) 354-8500

Fax

(810) 354-8503

NPI assigned

Apr 11, 2024

Last updated

Dec 11, 2025By 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

Suketu Modi

Title

Pharmacy Owner

Phone

(810) 354-8503

Specialties & licenses 1

Addresses

Tax ID family

Fenton Pharmacy RX Mi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fenton Pharmacy RX Mi LLC

  • Long Term Care Pharmacy
  • Fenton, MI
  • NPI 1114881448
  NPD tax ID

Locations

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1841043460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N LEROY ST STE A",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302729",
            "telephone_number": "810-354-8500",
            "fax_number": "810-354-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N LEROY STREET",
            "address_2": "STE A",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "48430",
            "telephone_number": "810-354-8500",
            "fax_number": "810-354-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON PHARMACY RX MI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "SUKETU",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "810-354-8503"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenton Massage Company
• Fenton Medical Center
• Fenton Pharmacy LLC (Fenton Pharmacy)
• Fenton Pharmacy LLC
• Fenton Pharmacy RX Mi LLC
• Fenton Physical Therapy, LLC (Fenton PT)
• Fenton Professionals LLC
• Fenton Smiles PLLC
• Fenton Therapy Services LLC
• Fenton Vision Sensory and Learning Center PLLC

• Community/Retail Pharmacy in Fenton, MI
• Providers in Fenton, 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 Dec 11, 2025; 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.