GMC Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011173 Issued in MI

Legal business name

GMC PHARMACY LLC

Practice address

43614 Garfield Rd Ste B
Clinton Township, MI 48038-1120

Phone

(586) 213-5659

Fax

(586) 213-5695

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Yasser Maisari, LLCNPI 1073256244

Title

Owner

Phone

(586) 213-5659

Specialties & licenses 2

Addresses

Other names 1

• MED EXPRESS 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.

• Yasser A Maisari, B.A., PHARM B.S.

  • Pharmacist
  • Southfield, MI
  • NPI 1073256244
  NPD Authorized official

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1992235535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43614 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381120",
            "telephone_number": "586-213-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43614 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381120",
            "telephone_number": "586-213-5659",
            "fax_number": "586-213-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "MAISARI",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-213-5659",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011173",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301011173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MED EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vatilda Gjokaj, BA
• Stephanie Marie Gjonaj, REGISTERED DIETITIAN
• Ryan John Gleesing, D.O.
• Stephanie Glennie, LPC
• Christine Glomstead, LMSW
• GMP Network
• Christine Chan-How Go, PA-C
• Latfiah Gobah, LMSW
• Shane Daryl Gober, D.O.
• Wendy Anne Goetz, LLP

• Community/Retail Pharmacy in Clinton Township, MI
• Providers in Clinton Township, 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 Sep 24, 2019; 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.