Arbor Lakes Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010767 Issued in MI

Legal business name

ARBOR LAKES PHARMACY LLC

Doing business as

Arbor Lakes Pharmacy

Practice address

1549 Holmes Rd
Ypsilanti, MI 48198-4147

Phone

(734) 340-6050

Fax

(734) 544-1337

NPI assigned

Dec 2, 2015

Last updated

May 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nashwan Algumaei, RPHNPI 1871167239

Title

Owner, Pic, Ao

Phone

(734) 340-6050

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Arbor Lakes Pharmacy Doing business as

Tax ID family

Arbor Lakes Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Arbor Lakes Pharmacy LLC

  • Long Term Care Pharmacy
  • Ypsilanti, MI
  • NPI 1669335451
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nashwan Algumaei, RPH

  • Pharmacist
  • Ypsilanti, MI
  • NPI 1871167239
  NPD Authorized official

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1932574977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 HOLMES RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481984147",
            "telephone_number": "734-340-6050",
            "fax_number": "734-544-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 HOLMES RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481984147",
            "telephone_number": "734-340-6050",
            "fax_number": "734-544-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR LAKES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "ALGUMAEI",
        "authorized_official_first_name": "NASHWAN",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "734-340-6050",
        "authorized_official_credential": "RPH"
    },
    "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": "5301010767",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932574977",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Lakes Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.