SUPERIOR COMPOUNDING PHARMACY LLC (NPI# 1093216616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093216616 |
| Entity Type | Organization |
| Organization Name | SUPERIOR COMPOUNDING PHARMACY LLC |
| Other Organization Name | SUPERIOR COMPOUNDING PHARMACY |
| Practice Address |
46983 Five Mile Rd Plymouth MI 48170-2486 |
| Practice Telephone | 7344046065 |
| Practice Fax Number | 7348922909 |
| Mailing Telephone | 7344046065 |
| Mailing Fax Number | 7348922909 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | SONIA ELIYA (MANAGER) |
| Authorized Official Telephone | 7344046065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301011314 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2176794 | 01 |
| Other Name | Type Code |
|---|---|
| Superior Compounding Pharmacy | Doing Business As Name - Organization |
| Street Address |
46983 FIVE MILE RD |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457757 | Ali Shehadeh | Pharmacy | 46983 Five Mile Rd, Plymouth, MI 48170-2486 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| 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 |
|---|---|---|---|---|
| 1437620903 | Grand St Paul Cvs LLC | Pharmacy | 17435 County Road 6, Plymouth, MN 55447-3046 | 2018-12-10 |
| 1144390220 | Willard Foods Inc | Pharmacy | 262 Sandusky St, Plymouth, OH 44865-1151 | 2006-11-08 |
| 1366521189 | Martin's Super Market | Pharmacy | 865 E Jefferson St, Plymouth, IN 46563-1847 | 2006-11-03 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| 1568561868 | Cvs Pharmacy Inc | Pharmacy | 2253 State Rd, Plymouth, MA 02360-5150 | 2006-09-22 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1295838902 | Hook Superx LLC | Pharmacy | 1900 N Michigan St, Plymouth, IN 46563-1046 | 2006-09-07 |
| 1972605269 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 49485 Ann Arbor Rd W, Plymouth, MI 48170-3206 | 2006-09-05 |
| 1396857231 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 40900 Ann Arbor Rd E, Plymouth, MI 48170-4430 | 2006-08-31 |
| 1013928605 | Pokerville Drug | Pharmacy | 18170 Hwy 49, Suite A, Plymouth, CA 95669 | 2006-08-10 |
| Find all providers in PLYMOUTH | ||||
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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.