Active NPI
Brothers 2 Pharmacy LLC
- Community/Retail Pharmacy
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mehulkumar V Sureja
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210830001899 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113322199 | Practice locations: Flint, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2237067 | Big Brothers Pharmacy | Certificate of waiver | May 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Flint, MI
- NPI 1336473990
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.