Organization Active NPI

Solara Medical Supplies

  • Community/Retail Pharmacy
  • Livonia, MI
National Provider Identifier
1902174196
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010213 Issued in MI
Legal business name
SOLARA MEDICAL SUPPLIES
Practice address
38023 Schoolcraft Rd
Livonia, MI 48150-1065
Phone
(888) 568-8145
Fax
(800) 999-2514
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Stephen Griggs
Title
Ceo
Phone
(407) 206-0040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010213 MI Primary

Addresses

Primary practice location

38023 Schoolcraft Rd
Livonia, MI 48150-1065

Mailing address

220 W Germantown Pike Ste 250
Plymouth Meeting, PA 19462-1437
Phone (610) 630-6357

Other identifiers 2

IdentifierTypeStateIssuer
2132583OtherPK
1114167111MedicaidMI

Other names 1

  • Solara Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Solara Medical Supplies LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1902174196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GERMANTOWN PIKE STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621437",
            "telephone_number": "610-630-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38023 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501065",
            "telephone_number": "888-568-8145",
            "fax_number": "800-999-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARA MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132583",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114167111",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solara Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solara Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.