Active NPI
Brotherhood Inc
- Community/Retail Pharmacy
- Garden City, MI
National Provider Identifier
1982718656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301007802
- Legal business name
- BROTHERHOOD INC
- Practice address
- 27543 Warren Rd
Garden City, MI 48135-2253 - Phone
- (734) 266-9018
- Fax
- (734) 266-9020
- NPI assigned
- Aug 18, 2006
- 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
- Mr. Ayman A Fares, RPH
- Title
- Owner Pharmacist
- Phone
- (734) 266-9018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301007802 | MI | Primary |
Addresses
Primary practice location
27543 Warren Rd
Garden City, MI 48135-2253
Mailing address
27543 Warren Rd
Garden City, MI 48135-2253
Phone (734) 266-9018
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2365597 | Other | MI | NCPDP |
| 540H222460 | Other | MI | BCBSM DME |
| 874622493 | Medicaid | MI |
Other names 1
- joy pharmacy
National Provider Directory
National Provider DirectoryLocations
27543 Warren Rd
Garden City, MI 48135
Phone (734) 266-9018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476748800000",
"number": "1982718656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27543 WARREN RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352253",
"telephone_number": "734-266-9018",
"fax_number": "734-266-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27543 WARREN RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352253",
"telephone_number": "734-266-9018",
"fax_number": "734-266-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROTHERHOOD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2016-10-18",
"status": "A",
"authorized_official_last_name": "FARES",
"authorized_official_first_name": "AYMAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "734-266-9018",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301007802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2365597",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM DME",
"identifier": "540H222460",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "874622493",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "joy pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.