1. Home
  2. Directory
  3. Michigan
  4. Fenton
  5. Pharmacy
  6. NPI Profile

FENTON PHARMACY RX MI LLC
NPI 1114881448
Pharmacy - Long Term Care Pharmacy in Fenton, MI

Active since December 11, 2025CLIA 23D2158004 · Waiver
305 N LEROY ST STE A, FENTON, MI 48430(810) 354-8500(810) 354-8503 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fenton Pharmacy Rx Mi Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FENTON PHARMACY RX MI LLC (NPI 1114881448) is a healthcare organization registered as a long term care pharmacy in Fenton, Michigan and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Suketu Modi, Owner, as its authorized official.

NPPES Registry Identity

NPI1114881448
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameFENTON PHARMACY RX MI LLC
Location Address305 N LEROY ST STE AFenton, MI 48430-2729
Mailing Address305 N Leroy St Ste AFenton, MI 48430-2729 · (810) 354-8500 · Fax (810) 354-8503
Phone(810) 354-8500
Fax(810) 354-8503
Organization SubpartNo
Authorized OfficialSuketu ModiOwner · (810) 354-8500
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1114881448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
305 N LEROY ST STE A, Fenton, MI 48430
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2158004

Fenton Pharmacy Rx Mi LLC · Fenton, MI
Active · expires Nov 18, 2026
CLIA Number23D2158004
Laboratory TypePharmacy
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorSartaj Baldwan
Laboratory Phone(810) 354-8500
Laboratory LocationFenton Pharmacy Rx Mi LLC305 N Leroy Street Suite A, Fenton, MI 48430
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FENTON PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
305 N LEROY ST STE A
FENTON, MI 48430
Genesee County (810) 354-8500
FENTON PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
305 N LEROY ST STE A
FENTON, MI 48430
Genesee County (810) 354-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fenton Pharmacy Rx Mi LLC's NPI number?

The NPI number for Fenton Pharmacy Rx Mi LLC is 1114881448. It was assigned to this organization in the NPPES registry on December 11, 2025.

Where is Fenton Pharmacy Rx Mi LLC located?

Fenton Pharmacy Rx Mi LLC is located at 305 N Leroy St Ste A, Fenton, MI 48430. The listed phone number is (810) 354-8500.

What is Fenton Pharmacy Rx Mi LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Fenton Pharmacy Rx Mi LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2158004) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fenton Pharmacy Rx Mi LLC was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.