Organization Active NPI

Brotherhood Inc

  • Community/Retail Pharmacy
  • Garden City, MI
National Provider Identifier
1982718656
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301007802 Issued in MI
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

Updated by the provider on Oct 18, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2365597OtherMINCPDP
540H222460OtherMIBCBSM DME
874622493MedicaidMI

Other names 1

  • joy pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.