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CARNIVAL PHARMACY LLC
NPI 1740555739
Pharmacy - Community/Retail Pharmacy in Pontiac, MI

Active since March 09, 2012
1101 E WALTON BLVD, #202, PONTIAC, MI 48340(248) 475-2200 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carnival Pharmacy Llc NPPES

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

CARNIVAL PHARMACY LLC (NPI 1740555739) is a healthcare organization registered as a community/retail pharmacy in Pontiac, Michigan and active in the NPI registry since March 2012. The organization lists Srinivasulu Pathuri, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1740555739
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCARNIVAL PHARMACY LLC
Location Address1101 E WALTON BLVD, #202Pontiac, MI 48340-1591
Mailing Address1101 E Walton Blvd, #202Pontiac, MI 48340-1591 · (248) 475-2200
Phone(248) 475-2200
Organization SubpartNo
Authorized OfficialSrinivasulu PathuriPharmacy Manager · (248) 475-2200
Enumeration DateMarch 9, 2012
Last NPPES UpdateApril 16, 2012
✔ NPI 1740555739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301009764
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1101 E WALTON BLVD, Pontiac, MI 48340
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Other Names 1

Doing Business AsCarnival Pharmacy Llc

Other Identifiers 1

Other2376451Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES 4

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

D2 DENTAL OF MICHIGAN, P.C.
Dentist
1101 E WALTON BLVD, SUITE 300
PONTIAC, MI 48340
Oakland County (248) 499-9989
BROOKE GREEN
Dentist
1101 E WALTON BLVD
PONTIAC, MI 48340
Oakland County (248) 499-9989
MYKAL DISCOUNT PHARMACY
Pharmacy (Community/Retail Pharmacy)
1101 E WALTON BLVD
PONTIAC, MI 48340
Oakland County (678) 508-2178
DR. YOUNG DO KIM DDS
Dentist (General Practice)
1101 E WALTON BLVD
PONTIAC, MI 48340
Oakland County (248) 499-9989

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 Carnival Pharmacy LLC's NPI number?

The NPI number for Carnival Pharmacy LLC is 1740555739. It was assigned to this organization in the NPPES registry on March 9, 2012.

Where is Carnival Pharmacy LLC located?

Carnival Pharmacy LLC is located at 1101 E Walton Blvd #202, Pontiac, MI 48340. The listed phone number is (248) 475-2200.

What is Carnival Pharmacy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Carnival Pharmacy LLC was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.