Tel Craft Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010677 Issued in MI

Legal business name

TEL CRAFT PHARMACY LLC

Practice address

14110 Telegraph Rd
Redford, MI 48239-2865

Phone

(313) 246-6301

Fax

(313) 246-6303

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Michael A Walker

Title

Owner

Phone

(313) 358-0414

Specialties & licenses 2

Addresses

Other names 1

• Tel Craft Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1962880260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392865",
            "telephone_number": "313-246-6301",
            "fax_number": "313-246-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14110 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392865",
            "telephone_number": "313-246-6301",
            "fax_number": "313-246-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEL CRAFT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-358-0414"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301010677",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tel Craft Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Antonio Tate, LPC, CAADC-DP
• Terry Taubitz, RN
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• Angela Denise Taylor-Jones
• Jamecia Taylor
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• Therawell Physical Therapy LLC

• Community/Retail Pharmacy in Redford, MI
• Providers in Redford, 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 Dec 1, 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.