OAKWOOD PHARMACY LINCOLN PARK (NPI# 1124040035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124040035 |
| Entity Type | Organization |
| Organization Name | OAKWOOD PHARMACY LINCOLN PARK |
| Other Organization Name | OAKWOOD HEALTHCARE INC |
| Practice Address |
25650 W Outer Drive Suite 200 Lincoln Park MI 48146-2096 |
| Mailing Address |
26901 Beaumont Blvd. Compliance Southfield MI 48033-4716 |
| Practice Telephone | 3132941520 |
| Practice Fax Number | 3132941525 |
| Mailing Telephone | 9475221963 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | CAROLYN S. WILSON (EVP & COO) |
| Authorized Official Telephone | 9475223338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 5301006701 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3428689 | 05 |
| Other Name | Type Code |
|---|---|
| Oakwood Healthcare Inc | Doing Business As Name - Organization |
| Street Address |
25650 W OUTER DRIVE SUITE 200 |
| City | LINCOLN PARK |
| State | MI |
| Zip Code | 48146-2096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967251 | Luisa Sofia Amaya | Behavior Technician | 1360 Porter Ave, Lincoln Park, MI 48146 | 2020-06-17 |
| 1851854129 | Abhi Patel | Physical Therapist | 25050 W. Outer Dr, Ste: 204, Lincoln Park, MI 48146 | 2019-04-12 |
| 1831608827 | Back On Track Physical Therapy LLC | Clinic/Center | 1132 Southfield Road, Lincoln Park, MI 48146 | 2017-09-22 |
| 1326568221 | Priscilla Cano | Social Worker | 1600 Porter, Detroit, MI 48146 | 2017-06-21 |
| 1952650194 | Melissa Margaret Belinc | Psychologist | 26300 Outer Drive, Lincoln Park, MI 48146 | 2012-09-04 |
| 1497011746 | Richard John Daniels | Physical Therapy Assistant | 1538 Morris, Lincoln Park, MI 48146 | 2012-04-11 |
| 1740563261 | Myesha Renee Thurman | Social Worker | 26180 W. Outer Drive, Lincoln Park, MI 48146 | 2011-09-21 |
| 1033491162 | Heidi Bremer | Social Worker | 26180 West Outer Drive, Lincoln Park, MI 48146 | 2011-09-14 |
| 1871823526 | Richard Dale Mott | Counselor | 1564 Arlington, Lincoln Park, LA 48146 | 2009-12-31 |
| 1386801777 | Laura Ann Kaakati-weber | Psychologist | 26184 West Outer Drive, Lincoln Park, MI 48146 | 2008-05-22 |
| Find all providers in zip 48146 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063872034 | Princes Pharmacy LLC | Pharmacy | 26190 Outer Dr Ste 120, Lincoln Park, MI 48146-2084 | 2016-03-03 |
| 1114326949 | Adams Pharmacy, LLC | Pharmacy | 1373 Dix Hwy, Lincoln Park, MI 48146-1346 | 2014-08-18 |
| 1336443126 | Lincoln Park Pharmacy LLC | Pharmacy | 4150 Dix Hwy, Lincoln Park, MI 48146-4030 | 2011-01-07 |
| 1811918865 | Atto Drugs Inc | Pharmacy | 3782 Fort St, Lincoln Park, MI 48146-4117 | 2006-07-22 |
| 1013932664 | Bormans Inc | Pharmacy | 3666 Fort St, Lincoln Park, MI 48146-4117 | 2006-07-13 |
| 1477699080 | Fort Street Pharmacy | Pharmacy | 2255 Fort St, Lincoln Park, MI 48146-2671 | 2007-01-30 |
| 1760597546 | Shoprite of Lincoln Park Inc | Pharmacy | 60 Beaverbrook Rd, Lincoln Park, NJ 07035-1771 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961763 | Dustyn Daniel Thoney | Pharmacy | 530 Harding Ave, Iron River, MI 49935-2265 | 2020-10-27 |
| 1497355697 | Katherine Jane Cybulski | Pharmacy | 1310 Waukazoo St, Hastings, MI 49058-9559 | 2020-10-27 |
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1770104192 | Hazelwood Pharmacy LLC | Pharmacy | 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 | 2020-04-27 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
| 1457996662 | Sunrise Pharmacy, LLC | Pharmacy | 989 University Dr Ste 104, Pontiac, MI 48342-1885 | 2019-11-12 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN PARK |
| Zip Code | 48146 |
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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.