Pontiac Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PONTIAC PHARMACY LLC

Practice address

1925 N Perry St
Pontiac, MI 48340-2237

Phone

(248) 499-6070

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jevin MeghparaNPI 1831711662

Title

Owner / Pic

Phone

(248) 499-6070

Specialties & licenses 1

Addresses

Other names 1

• PONTIAC PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jevin Meghpara

  • Pharmacist
  • Pontiac, MI
  • NPI 1831711662
  NPD Authorized official
• Mehulkumar V Sureja, PHARMACIST

  • Pharmacist
  • Flint, MI
  • NPI 1336473990
  NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1992404081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402237",
            "telephone_number": "248-499-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402237",
            "telephone_number": "248-499-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTIAC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "MEGHPARA",
        "authorized_official_first_name": "JEVIN",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "248-499-6070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PONTIAC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PONTIAC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pontiac General Hospital and Medical Centers
• Pontiac General Hospital Pharmacy Inc.
• Pontiac General Hospital Pharmacy Inc.
• Pontiac Labs, LLC
• Pontiac Osteopathic Hospital
• Christina Poponea, NP
• Elizabeth Popovski, M.D. M.SC.
• Angela M Porter, MD
• Erick Post
• Rani Potros, PA

• Community/Retail Pharmacy in Pontiac, MI
• Providers in Pontiac, 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 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.