Lucky's Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LUCKY'S PHARMACY LLC

Doing business as

Lucky's Pharmacy

Practice address

810 S Dort Hwy Ste B
Flint, MI 48503-2898

Phone

(610) 329-3681

NPI assigned

Jan 8, 2021

Last updated

Jan 8, 2021By 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

Samir FalduNPI 1194361535

Title

Owner

Phone

(610) 329-3681

Specialties & licenses 3

Addresses

Other names 1

• Lucky's Pharmacy Doing business as

Locations

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.

• Samir Faldu

  • Pharmacist
  • Grand Blanc, MI
  • NPI 1194361535
  NPD Authorized official

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1952999534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 WARWICK WOODS TRL",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399591",
            "telephone_number": "610-329-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S DORT HWY STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032898",
            "telephone_number": "610-329-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY'S PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "FALDU",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-329-3681"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucky's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark William Lucas, D.D.S.
• Nicole Lucas
• Stacey Luck
• Paula Charisse Luckado-Dobbins
• Lucky's Heart Home Care LLC
• David Owen Ludkin, DDS
• John J Ludwig, MA, LMSW, LPC
• Luis a Perez DDS Ms PC
• Chantal E Lujano
• Teresa Marie Lukasavitz, TLLP

• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, 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 Jan 8, 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.