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12 Mile Road Pharmacy LLC

Community/Retail Pharmacy in Berkley, MI · enumerated 2019 · authorized official Evan Johnson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275170441

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Registry record

Entity type Organization (Type 2)
Legal business name 12 Mile Road Pharmacy LLC
Practice address 3348 12 Mile Rd, Berkley, MI, 48072
Phone (248) 677-3584
Enumeration date Dec 5, 2019
Last updated in NPPES Mar 18, 2021

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Evan Johnson
Title Owner
Phone (248) 677-3584

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for 12 Mile Road Pharmacy LLC?
NPPES lists Evan Johnson (Owner) as the authorized official for this organization.
What is the NPI number for 12 Mile Road Pharmacy LLC?
The NPI for 12 Mile Road Pharmacy LLC is 1275170441, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-18.