CRITTENTON MEDICAL PHARMACY


Address: 1135 W University Dr, Suite 105, Rochester, MI 48307-1871
Phone: 2486502155

CRITTENTON MEDICAL PHARMACY (NPI# 1174657431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174657431
Entity Type Organization
Organization Name CRITTENTON MEDICAL PHARMACY
Practice Address 1135 W University Dr
Suite 105
Rochester
MI 48307-1871
Practice Telephone 2486502155
Practice Fax Number 2486506026
Mailing Telephone 2486502155
Mailing Fax Number 2486506026
Enumeration Date 2007-03-16
Last Update Date 2014-10-30
Authorized Official Name DR. SUSAN M WILSON (DIRECTOR OF PHARMACY)
Authorized Official Telephone 2486525195
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
5315024981 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI 7034882 05

Office Location

Street Address 1135 W UNIVERSITY DR
SUITE 105
City ROCHESTER
State MI
Zip Code 48307-1871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730186479 Oncology & Hematology of Oakland PC Internal Medicine 1135 W University Dr, Ste 220, Rochester, MI 48307-1871 2005-07-07
1851811459 Natalie Mariani Pharmacist 1135 W University Dr, Rochester, MI 48307-1871 2017-06-23
1386012920 Molly Bridget Maki Nurse Practitioner 1135 W University Dr, Suite 425, Rochester, MI 48307-1871 2015-09-14
1902212699 Amy Denyes-green Nurse Practitioner 1135 W University Dr, Suite 450, Rochester, MI 48307-1871 2014-07-02
1942642640 Amanda C Hessenauer Audiologist 1135 W University Dr, Ste 440, Rochester, MI 48307-1897 2013-07-23
1235429721 Salieha Zaheer Family Medicine 1135 W University Dr, Ste 250, Rochester, MI 48307-1886 2011-04-18
1790081487 Melissa Marie Niemiec Nurse Practitioner 1135 W University Dr, Suite 425, Rochester, MI 48307-1871 2011-01-28
1336443837 Mazen S Afram M.d.p.c. Internal Medicine 1135 W University Dr, Ste 300, Rochester, MI 48307-1871 2010-12-27
1417258963 Stacey Michelle Goodman Nurse Practitioner 1135 W University Dr, Suite 425, Rochester, MI 48307-1871 2010-11-15
1538489919 Lori Marie Zywiol Physical Therapist 1135 W University Dr, Suite 425, Rochester, MI 48307-1871 2010-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083238851 Martin Dukaj Student in an Organized Health Care Education/Training Program 1101 Walton Blvd, Rochester Hills, MI 48307 2020-06-08
1073151973 Cynthia Lynn Olekszyk Dietitian, Registered 645 Barclay Circle, Rochester Hills, MI 48307 2019-12-11
1326502428 Jessica Delia Nurse Practitioner 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 2019-01-23
1528530037 Kelie Friday Physical Therapist 312 Rochester Hills, Dearborn, MI 48307 2018-12-21
1538635883 Julie Latarewicz Physical Therapist Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 2018-10-15
1891270757 Leah Marx Social Worker 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 2018-09-26
1598256729 Frederick Alan Bittner Student in an Organized Health Care Education/Training Program 1101 W. University Drive, 3 North, Rochester, MI 48307 2018-05-23
1508356346 Ankita Aggarwal Student in an Organized Health Care Education/Training Program Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 2018-05-17
1619478195 Michelle Nuccio Occupational Therapist 1555 E South Blvd, Rochester Hills, MI 48307 2018-02-21
1265932024 Stacy Dietlin Linn Physical Therapist 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 2018-02-19
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033726807 Portland Pharmacy Inc Pharmacy 1295 Portland Ave Ste 2, Rochester, NY 14621-2726 2020-09-25
1891313326 Rochester Community Pharmacy LLC Pharmacy 1604 1st St Nw, Rochester, MN 55901-0318 2020-07-10
1942776786 Seneca Rx LLC Pharmacy 2780 Dewey Ave., Rochester, NY 14616 2018-10-19
1902319510 Gleason Pharmacy Services Inc Pharmacy 441 S State St, Rochester, IL 62563-9297 2017-11-06
1275057572 Walgreen Co Pharmacy 3122 Monroe Ave, Rochester, NY 14618-4606 2017-07-28
1821468299 Hy Vee Inc Pharmacy 4221 W Circle Drive Nw, Rochester, MN 55901-8878 2015-09-29
1659765386 Costco Wholesale Corporation Pharmacy 335 Westfall Rd, Rochester, NY 14620 2015-03-19
1275922072 Trillium Health, Inc. Pharmacy 170 Science Pkwy, Rochester, NY 14620-4251 2015-01-16
1891109179 New Clinton Pharmacy LLC Pharmacy 360 Saint Paul St, Rochester, NY 14605-1745 2014-06-16
1336586668 University of Rochester Pharmacy 601 Elmwood Ave Rm 2-5425, Rochester, NY 14642-0001 2013-05-28
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Competitor

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City ROCHESTER
Zip Code 48307

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Dataset Information

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.

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