MEDCART SPECIALTY CARE LLC (NPI# 1023126026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023126026 |
| Entity Type | Organization |
| Organization Name | MEDCART SPECIALTY CARE LLC |
| Other Organization Name | MEDCART PHARMACY |
| Practice Address |
1964 W 11 Mile Rd Suite C Berkley MI 48072-3046 |
| Mailing Address |
250 E Parkcenter Blvd Mailstop Sec2-b Boise ID 83706-3940 |
| Practice Telephone | 2485422300 |
| Practice Fax Number | 2485424007 |
| Mailing Telephone | 2083956200 |
| Mailing Fax Number | 6233366363 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2018-09-28 |
| Authorized Official Name | TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS) |
| Authorized Official Telephone | 2083953906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008419 | MI | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2168914 | 01 |
| Other Name | Type Code |
|---|---|
| MEDCART PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225343221 | Medcart Specialty Care LLC | Durable Medical Equipment & Medical Supplies | 32131 Industrial Rd, Livonia, MI 48150-1836 | 2010-08-13 |
| 1861917858 | Medcart Specialty Care LLC | Pharmacy | 250 E Parkcenter Blvd, Boise, ID 83706-3940 | 2017-08-10 |
| Street Address |
1964 W 11 MILE RD SUITE C |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609082510 | Ron T Williamson Dds and Associates Plc | Dentist | 1964 W 11 Mile Rd, Suite 4, Berkley, MI 48072-3046 | 2007-05-15 |
| 1588101091 | Mark Rosen | Physician Assistant | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2017-01-22 |
| 1538457882 | Michigan Healthcare Professionals PC | Clinical Medical Laboratory | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2011-07-20 |
| 1891028759 | Ganeshji Inc | Pharmacy | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2009-09-10 |
| 1235366014 | Caleb Anthony Youngblood | Physician Assistant | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2009-06-18 |
| 1942444203 | Clifford M Buchman Do PC | Orthopaedic Surgery | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2009-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094332 | Berkley Medical Center Pharmacy LLC | Pharmacy | 1695 W 12 Mile Rd # 210, Berkley, MI 48072-2182 | 2020-02-10 |
| 1083956049 | Davob Pharmacy Inc | Pharmacy | 4148 W 12 Mile Rd, Berkley, MI 48072-1122 | 2013-03-18 |
| 1457581910 | D & D Pharmacy LLC | Pharmacy | 3500 11 Mile Rd, Ste D, Berkley, MI 48072-1225 | 2009-07-19 |
| 1942312889 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 1715 Coolidge Hwy, Berkley, MI 48072-3040 | 2006-08-31 |
| 1275170441 | 12 Mile Road Pharmacy LLC | Pharmacy | 3348 12 Mile Rd, Berkley, MI 48072-1344 | 2019-12-05 |
| 1669958427 | Live Well Rx LLC | Pharmacy | 3270 Greenfield Rd Ste 101, Berkley, MI 48072-1161 | 2018-07-16 |
| 1891028759 | Ganeshji Inc | Pharmacy | 1964 W 11 Mile Rd, Berkley, MI 48072-3046 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.