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12 MILE ROAD PHARMACY LLC
NPI 1275170441
Pharmacy - Community/Retail Pharmacy in Berkley, MI

Active since December 05, 2019
3348 12 MILE RD, BERKLEY, MI 48072(248) 677-3584 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2021, Feb 9, 2021, Dec 5, 2019 (3 updates tracked since 2019).

About 12 Mile Road Pharmacy Llc NPPES

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

12 MILE ROAD PHARMACY LLC (NPI 1275170441) is a healthcare organization registered as a community/retail pharmacy in Berkley, Michigan and active in the NPI registry since December 2019. The organization lists Evan Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1275170441
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name12 MILE ROAD PHARMACY LLC
Location Address3348 12 MILE RDBerkley, MI 48072-1344
Mailing Address3348 12 Mile RdBerkley, MI 48072-1344 · (248) 677-3584
Phone(248) 677-3584
Organization SubpartNo
Authorized OfficialEvan JohnsonOwner · (248) 677-3584
Enumeration DateDecember 5, 2019
Last NPPES UpdateMarch 18, 20213 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1275170441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
3348 12 MILE RD, Berkley, MI 48072
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

THERA SCRIPT PHARMACY BERKLEY PLLC
Pharmacy (Community/Retail Pharmacy)
3348 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 542-6337

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 12 Mile Road Pharmacy LLC's NPI number?

The NPI number for 12 Mile Road Pharmacy LLC is 1275170441. It was assigned to this organization in the NPPES registry on December 5, 2019.

Where is 12 Mile Road Pharmacy LLC located?

12 Mile Road Pharmacy LLC is located at 3348 12 Mile Rd, Berkley, MI 48072. The listed phone number is (248) 677-3584.

What is 12 Mile Road Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does 12 Mile Road Pharmacy LLC accept?

Health plans from Medica list 12 Mile Road Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 12 Mile Road Pharmacy LLC was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.