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PONTIAC PHARMACY
NPI 1992404081
Pharmacy - Community/Retail Pharmacy in Pontiac, MI

Active since February 27, 2023CLIA 23D2347550 · Waiver
1925 N PERRY ST, PONTIAC, MI 48340(248) 499-6070 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 24, 2024, May 14, 2024, Apr 10, 2024 and 1 more (4 updates tracked since 2023).

About Pontiac Pharmacy NPPES

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

PONTIAC PHARMACY (NPI 1992404081) is a healthcare organization registered as a community/retail pharmacy in Pontiac, Michigan and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Jevin Meghpara, Owner / Pic, as its authorized official.

NPPES Registry Identity

NPI1992404081
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePONTIAC PHARMACY LLC
Location Address1925 N PERRY STPontiac, MI 48340-2237
Mailing Address1925 N Perry StPontiac, MI 48340-2237 · (248) 499-6070
Phone(248) 499-6070
Organization SubpartNo
Authorized OfficialJevin MeghparaOwner / Pic · (248) 499-6070
Enumeration DateFebruary 27, 2023
Last NPPES UpdateDecember 24, 20244 updates tracked since enumeration
NPPES CertifiedDecember 24, 2024
✔ NPI 1992404081 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.
1925 N PERRY ST, Pontiac, MI 48340
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Other Names 1

Doing Business AsPontiac Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 23D2347550

Pontiac Pharmacy · Pontiac, MI
Active · expires Jul 20, 2028
CLIA Number23D2347550
Laboratory TypePharmacy
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorJevin V. Meghpara
Laboratory Phone(248) 499-6070
Laboratory LocationPontiac Pharmacy1925 N Perry Street, Pontiac, MI 48340
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
15 services15 patients

Other Providers at the Same Location NPPES

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

DR. JEVIN MEGHPARA
Pharmacist
1925 N PERRY ST
PONTIAC, MI 48340
Oakland County (248) 499-6070

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 Pontiac Pharmacy LLC's NPI number?

The NPI number for Pontiac Pharmacy LLC is 1992404081. It was assigned to this organization in the NPPES registry on February 27, 2023. The provider is doing business as Pontiac Pharmacy.

Where is Pontiac Pharmacy LLC located?

Pontiac Pharmacy LLC is located at 1925 N Perry St, Pontiac, MI 48340. The listed phone number is (248) 499-6070.

What is Pontiac Pharmacy LLC's specialty?

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

Does Pontiac Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2347550) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pontiac Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Pontiac 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 Pontiac Pharmacy LLC was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.