Active NPI
Luxcare Pharmacy LLC
- Community/Retail Pharmacy
- Battle Creek, MI
National Provider Identifier
1891211652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301011231
- Legal business name
- LUXCARE PHARMACY LLC
- Practice address
- 2503 Capital Ave SW
Battle Creek, MI 49015-4103 - Phone
- (269) 883-9900
- Fax
- (269) 883-9911
- NPI assigned
- Aug 14, 2017
- 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
- Ali Hamad
- Title
- Owner/Pic/Ao
- Phone
- (269) 883-9900
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301011231 | MI | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2503 Capital Ave SW
Battle Creek, MI 49015-4103
Mailing address
2503 Capital Ave SW
Battle Creek, MI 49015-4103
Phone (269) 883-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891211652 | Medicaid | MI | |
| 2170978 | Other | PK |
Other names 1
- Luxcare 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 |
|---|---|---|---|---|
| O20180425002383 | MI | Part B Supplier - Pharmacy | 5294091062 | Practice locations: Battle Creek, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Inkster, MI
- NPI 1154705580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1891211652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 CAPITAL AVE SW",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490154103",
"telephone_number": "269-883-9900",
"fax_number": "269-883-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 CAPITAL AVE SW",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490154103",
"telephone_number": "269-883-9900",
"fax_number": "269-883-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXCARE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-14",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "HAMAD",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "OWNER/PIC/AO",
"authorized_official_telephone_number": "269-883-9900"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301011231",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891211652",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2170978",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Luxcare Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.