Farm Fresh Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009656 Issued in MI

Legal business name

FARM FRESH PHARMACY LLC

Practice address

13151 W 10 Mile Rd Ste 1
Oak Park, MI 48237-4601

Phone

(248) 545-5850

Fax

(248) 545-5851

NPI assigned

Sep 27, 2011

Organization subpart

No

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

Authorized official

Name

Hetalbehan Jariwala

Title

Owner

Phone

(248) 545-5850

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FARM FRESH PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1851674709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13151 W 10 MILE RD STE 1",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482374601",
            "telephone_number": "248-545-5850",
            "fax_number": "248-545-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 W 10 MILE RD STE 1",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482374601",
            "telephone_number": "248-545-5850",
            "fax_number": "248-545-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARM FRESH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "JARIWALA",
        "authorized_official_first_name": "HETALBEHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-545-5850"
    },
    "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": "5301009656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2375877",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851674709",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARM FRESH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Oak Park, MI
• Providers in Oak Park, 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 Jun 4, 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.