Provider Demographics
NPI:1811550536
Name:GOOD MED PHARMACY, LLC
Entity Type:Organization
Organization Name:GOOD MED PHARMACY, LLC
Other - Org Name:GOOD MED PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEINOST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-434-2448
Mailing Address - Street 1:31300 REXWOOD ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1464
Mailing Address - Country:US
Mailing Address - Phone:248-432-7477
Mailing Address - Fax:248-432-7486
Practice Address - Street 1:31300 REXWOOD ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1464
Practice Address - Country:US
Practice Address - Phone:248-432-7477
Practice Address - Fax:248-432-7486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1811550536Medicaid