Organization Active NPI

Hamilton Pharmacy LLC

  • Community/Retail Pharmacy
  • Flint, MI
National Provider Identifier
1871860320
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009692 Issued in MI
Legal business name
HAMILTON PHARMACY LLC
Practice address
915 S Dort Hwy
Suite 2
Flint, MI 48503-2800
Phone
(810) 239-2475
Fax
(810) 239-3067
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Bassam Youssef
Title
Owner
Phone
(810) 230-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009692 MI Primary

Addresses

Primary practice location

915 S Dort Hwy
Suite 2
Flint, MI 48503-2800

Mailing address

915 S Dort Hwy
Suite 2
Flint, MI 48503-2800
Phone (810) 239-2475

Other identifiers 1

IdentifierTypeStateIssuer
2376247OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HAMILTON PHARMACY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

915 S Dort Hwy
Ste 2
Flint, MI 48503
Phone (810) 239-2475

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1871860320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S DORT HWY",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032800",
            "telephone_number": "810-239-2475",
            "fax_number": "810-239-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S DORT HWY",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032800",
            "telephone_number": "810-239-2475",
            "fax_number": "810-239-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-230-8300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2376247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAMILTON PHARMACY LLC",
            "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 Jul 20, 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.