NPIMap

Organization Active NPI

Long Lake RX Pharmacy LLC

  • Community/Retail Pharmacy
  • Troy, MI
National Provider Identifier
1851898035
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011359 Issued in MI
Legal business name
LONG LAKE RX PHARMACY LLC
Practice address
2888 E Long Lake Rd
Troy, MI 48085-3793
Phone
(586) 822-0336
Fax
(425) 486-6367
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Tanveer Hussain
Title
President
Phone
(586) 822-0336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301011359 MI Primary

Addresses

Primary practice location

2888 E Long Lake Rd
Troy, MI 48085-3793

Mailing address

2888 E Long Lake Rd
Troy, MI 48085-3793
Phone (586) 822-0336

National Provider Directory

National Provider Directory
Tax ID family
Long Lake RX2 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.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1851898035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853793",
            "telephone_number": "586-822-0336",
            "fax_number": "425-486-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853793",
            "telephone_number": "586-822-0336",
            "fax_number": "425-486-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LAKE RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "TANVEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-822-0336"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.