Active NPI
Medical Park Pharmacy Inc
- Community/Retail Pharmacy
- Bloomfield Hills, MI
National Provider Identifier
1881764967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008514
- Legal business name
- MEDICAL PARK PHARMACY INC
- Doing business as
- MEDICAL PARK PHARMACY
- Practice address
- 359 Enterprise CT
Bloomfield Hills, MI 48302-1055 - Phone
- (248) 454-6500
- Fax
- (248) 454-6560
- NPI assigned
- Nov 8, 2006
- 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
- Robert Harb
- Title
- President
- Phone
- (248) 454-6500
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 | 5301008514 | MI | Primary |
Addresses
Primary practice location
359 Enterprise CT
Bloomfield Hills, MI 48302-1055
Mailing address
359 Enterprise CT
Bloomfield Hills, MI 48302-1055
Phone (248) 454-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2042533 | Other | PK |
Other names 1
- MEDICAL PARK PHARMACY
National Provider Directory
National Provider DirectoryLocations
799 Denison Ct
Fl 1
Bloomfield Hills, MI 48302
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
- Bloomfield Hills, MI
- NPI 1073804936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679961600000",
"number": "1881764967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 ENTERPRISE CT",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483021055",
"telephone_number": "248-454-6500",
"fax_number": "248-454-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 ENTERPRISE CT",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483021055",
"telephone_number": "248-454-6500",
"fax_number": "248-454-6560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL PARK PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A",
"authorized_official_last_name": "HARB",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-454-6500"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301008514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2042533",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICAL PARK PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MEDICAL PARK PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.