AFFILIATED HEALTH SERVICES (NPI# 1073697124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073697124 |
| Entity Type | Organization |
| Organization Name | AFFILIATED HEALTH SERVICES |
| Other Organization Name | ASCENSION MICHIGAN PHARMACY |
| Practice Address |
22250 Providence Dr Southfield MI 48075-4825 |
| Mailing Address |
28000 Dequindre Warren MI 48092 |
| Practice Telephone | 2488493939 |
| Practice Fax Number | 2488498601 |
| Mailing Telephone | 5862284588 |
| Mailing Fax Number | 5862284595 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | RONY FOUMIA (DIRECTOR) |
| Authorized Official Telephone | 2483034425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5301007250 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301007250 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 50-2329034 | 05 |
| Other Name | Type Code |
|---|---|
| Ascension Michigan Pharmacy | Doing Business As Name - Organization |
| St. John Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710083092 | Affiliated Health Services | Pharmacy | 18000 W 9 Mile Rd Ste 410, Southfield, MI 48075 | 2006-09-15 |
| 1154432615 | Affiliated Health Services | Durable Medical Equipment & Medical Supplies | 22151 Moross Rd Ste G25, Detroit, MI 48236-2144 | 2006-08-31 |
| 1881977767 | Affiliated Health Services | Pharmacy | 812 E Jolly Rd, Suite 208, Lansing, MI 48910-6818 | 2011-09-27 |
| 1821249368 | Affiliated Health Services | Pharmacy | 47601 Grand River Ave, Novi, MI 48374-1233 | 2008-10-02 |
| 1588823249 | Affiliated Health Services | Pharmacy | 17900 23 Mile Rd, Ste 104, Macomb, MI 48044 | 2008-06-06 |
| 1013189695 | Affiliated Health Services | Pharmacist | 4100 S River Rd, Suite 100, East China, MI 48054-2909 | 2008-03-24 |
| 1558445627 | Affiliated Health Services | Pharmacist | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2006-10-25 |
| 1487738480 | Affiliated Health Services | Pharmacy | 26850 Providence Pkwy, Suite 100, Novi, MI 48374-1213 | 2006-10-25 |
| 1396840757 | Affiliated Health Services | Durable Medical Equipment & Medical Supplies | 46591 Romeo Plank Rd, Suite 125, Macomb, MI 48044-5742 | 2006-09-13 |
| 1750484648 | Affiliated Health Services | Pharmacist | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2006-09-06 |
| Street Address |
22250 PROVIDENCE DR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981071 | Anthony Edward Boutt | Obstetrics & Gynecology | 22250 Providence Dr, 408, Southfield, MI 48075-4825 | 2005-06-02 |
| 1871110015 | Abbas Chehab | Internal Medicine | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-07-04 |
| 1013531854 | Anicia Mirchandani | Radiology | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-06-06 |
| 1285258442 | Kidist Tamirat Arficho | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-06-03 |
| 1386268035 | Denas Andrijauskis | Surgery | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-05-28 |
| 1669030748 | Cyrus Garmo | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Southfield, MI 48075-4825 | 2019-06-03 |
| 1922661297 | Ammar Hassen Alsalahi | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Suite #601, Southfield, MI 48075-4814 | 2019-04-22 |
| 1265963797 | Cameron Whitler | Internal Medicine | 22250 Providence Dr, Suite 705, Southfield, MI 48075-4818 | 2017-03-26 |
| 1144671082 | Jessica Anne Hudson | Family Medicine | 22250 Providence Dr, Ste. 500, Southfield, MI 48075-4825 | 2016-06-22 |
| 1689024960 | Yessar Takruri | Internal Medicine | 22250 Providence Dr, Southfield, MI 48075-4825 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1184260838 | Dabajarx | Pharmacy | 20905 Greenfield Rd Ste 104, Southfield, MI 48075-5344 | 2019-11-18 |
| 1003302191 | Alavar Specialty Pharmacy, LLC | Pharmacy | 18877 W 10 Mile Rd Ste 107, Southfield, MI 48075-2628 | 2018-07-02 |
| 1982065850 | Great Care Pharmacy LLC | Pharmacy | 20134 W 8 Mile Rd, Southfield, MI 48075-5659 | 2016-03-18 |
| 1255760740 | Walgreens | Pharmacy | 27505 Franklin Rd Apt 207, Southfield, MI 48034-8250 | 2013-11-05 |
| 1073958831 | Franklin Apothecary LLC | Pharmacy | 29113 Northwestern Hwy, Southfield, MI 48034-1011 | 2013-05-07 |
| 1174874994 | Rx Adams Plc | Pharmacy | 16500 N Park Dr Ste 106, Southfield, MI 48075-4710 | 2012-09-20 |
| 1598032948 | Med Drug Pharmacy Inc | Pharmacy | 26206 W 12 Mile Rd Ste 108, Southfield, MI 48034-1799 | 2011-11-29 |
| 1659648749 | Chemville Pharmacy Inc | Pharmacy | 22100 W 10 Mile Rd, Southfield, MI 48033-3232 | 2011-11-17 |
| 1912151002 | Biomed Health Solutions LLC | Pharmacy | 23815 Northwestern Hwy, Suite 100, Southfield, MI 48075-7738 | 2008-11-17 |
| 1851565048 | The Medicine Cabinet 2 | Pharmacy | 21947 W Nine Mile Rd, Southfield, MI 48075 | 2008-04-17 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on AFFILIATED HEALTH SERVICES.
| 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.