Organization Active NPI

Imlay City Pharmacy LLC

  • Community/Retail Pharmacy
  • Imlay City, MI
National Provider Identifier
1871302182
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
IMLAY CITY PHARMACY LLC
Practice address
591 S Cedar St
Imlay City, MI 48444-1333
Phone
(810) 620-7279
Fax
(810) 632-8850
NPI assigned
Jan 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Amged BedairNPI 1568743581
Title
Owner
Phone
(551) 208-0698

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

591 S Cedar St
Imlay City, MI 48444-1333

Mailing address

591 S Cedar St
Imlay City, MI 48444-1333
Phone (810) 620-7279

Other names 1

  • Imlay City Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250320001356 MI Part B Supplier - Mass Immunization (Roster Biller Only) 8123540028 Practice locations: Inlay City, MI

National Provider Directory

National Provider Directory

Locations

591 S Cedar St
Imlay City, MI 48444
Phone (810) 620-7279

Practitioners & affiliated clinicians

Practitioners 2

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": "1735689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1871302182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 S CEDAR ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484441333",
            "telephone_number": "810-620-7279",
            "fax_number": "810-632-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 S CEDAR ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484441333",
            "telephone_number": "810-620-7279",
            "fax_number": "810-632-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMLAY CITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "BEDAIR",
        "authorized_official_first_name": "AMGED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-208-0698"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imlay City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Imlay City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Imlay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.