FORT STREET PHARMACY
NPI 1477699080
Pharmacy - Community/Retail Pharmacy in Lincoln Park, MI

NPI Status: Active since January 30, 2007

Contact Information

2255 FORT ST
LINCOLN PARK, MI
ZIP 48146
Phone: (313) 357-7500
Fax: (313) 357-7502

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About FORT STREET PHARMACY

This page provides the complete NPI Profile along with additional information for Fort Street Pharmacy, a provider established in Lincoln Park, Michigan operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1477699080 assigned on January 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 5301004123 (MI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is John Leach (Owner And Phcist)

NPI
1477699080
Provider Name
FORT STREET PHARMACY
Entity Type
Organization
Location Address
2255 FORT ST LINCOLN PARK, MI 48146
Location Phone
(313) 357-7500
Location Fax
(313) 357-7502
Mailing Address
PO BOX 46118 MOUNT CLEMENS, MI 48046
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2007
Last Update Date
04-26-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
5301004123
License State
MI
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN LEACH

Authorized Official Title
OWNER AND PHCIST
Authorized Official Phone
(313) 357-7500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2339085OTHER (01)OTHER ID NUMBER
1645190MEDICAID (05)MI 
2339085OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER

Reviews for FORT STREET PHARMACY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477699080
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2414712918016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 2 + 9 + 1 + 8 + 0 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1477699080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477545101 FLORENCE SRI-THARAN M.D.
Individual
Family Medicine2255 FORT ST
LINCOLN PARK, MI 48146
(313) 386-7500
1720421738CAREMERICA AT DETROIT LLC
Organization
Pharmacy (Community/Retail Pharmacy)2255 FORT ST
LINCOLN PARK, MI 48146
(313) 357-7500
1669439758 KATHERINE GRINENKO METCALF NP
Individual
Nurse Practitioner (Family)2255 FORT ST
LINCOLN PARK, MI 48146
(313) 386-7500
1912334343SRISIRI PHARMA INC
Organization
Pharmacy (Community/Retail Pharmacy)2255 FORT ST INDEX PARK PHARMACY
LINCOLN PARK, MI 48146
(313) 357-7500
1750590956MS. MONET MARIE MURPHY
Individual
Nurse Practitioner (Family)2255 FORT ST
LINCOLN PARK, MI 48146
(313) 386-7500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477699080, enumerated in the NPI registry as an "organization" on January 30, 2007

The provider is located at 2255 Fort St Lincoln Park, Mi 48146 and the phone number is (313) 357-7500

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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