Organization Active NPI

Brothers 2 Pharmacy LLC

  • Community/Retail Pharmacy
  • Flint, MI
National Provider Identifier
1851961502
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROTHERS 2 PHARMACY LLC
Doing business as
BIG BROTHERS PHARMACY
Practice address
4801 Fenton Rd
Flint, MI 48507
Phone
(810) 820-8685
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Mr. Mehulkumar V SurejaNPI 1336473990
Title
Pic / Manager
Phone
(201) 314-8152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4801 Fenton Rd
Flint, MI 48507

Mailing address

4801 Fenton Rd
Flint, MI 48507-3321
Phone (810) 820-8685

Other names 1

  • BIG BROTHERS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210830001899 MI Part B Supplier - Mass Immunization (Roster Biller Only) 7113322199 Practice locations: Flint, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2237067Big Brothers Pharmacy4801 Fenton Road, Flint, MI 48507Certificate of waiverMay 21, 2027

National Provider Directory

National Provider Directory

Locations

4801 Fenton Rd
Flint, MI 48507
Phone (810) 820-8685

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1851961502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 FENTON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073321",
            "telephone_number": "810-820-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 FENTON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-820-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS 2 PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "SUREJA",
        "authorized_official_first_name": "MEHULKUMAR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PIC / MANAGER",
        "authorized_official_telephone_number": "201-314-8152",
        "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": [
        {
            "organization_name": "BIG BROTHERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.