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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5315024981 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 7034882 | 05 |
Street Address |
1135 W UNIVERSITY DR SUITE 105 |
City | ROCHESTER |
State | MI |
Zip Code | 48307-1871 |
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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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 |
Find all providers in zip 48307 |
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] |
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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 |
Find all providers in ROCHESTER |
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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.