MEDISERV INC (NPI# 1215106034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215106034 |
| Entity Type | Organization |
| Organization Name | MEDISERV INC |
| Other Organization Name | MEDISERV PHARMACY |
| Practice Address |
125 S Cherry St Suite C Flushing MI 48433-2018 |
| Practice Telephone | 8106598868 |
| Practice Fax Number | 8106596789 |
| Mailing Telephone | 8106598868 |
| Mailing Fax Number | 8106596789 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | MR. RAYMOND GORDON DORHOUT (PRES) |
| Authorized Official Telephone | 6163408780 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 5301008816 | MI | Laboratories |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5301008816 | MI | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
5301008816 | MI | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
5301008816 | MI | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
5301008816 | MI | Suppliers |
| Y | 333600000X | Pharmacy | 5301008816 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHARMACY | 5301008816 | 01 |
| MI | CONTROLLED SUBST-PHARMACY | 5315034738 | 01 |
| Other Name | Type Code |
|---|---|
| Mediserv Pharmacy | Other Name - Individual/Organization |
| Street Address |
125 S CHERRY ST SUITE C |
| City | FLUSHING |
| State | MI |
| Zip Code | 48433-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558611467 | Summer A Bates | Nurse Practitioner | 1459 S. Center Rd, Burton, MI 48433 | 2012-09-18 |
| 1982965083 | David Shorez | Dentist | 6221 W. Pierson Rd, Flushing, MI 48433 | 2012-06-05 |
| 1740540434 | Jennifer Marie Shorez | Dentist | 6221 W. Pierson Rd., Flushing, MI 48433 | 2012-05-29 |
| 1174826069 | Jon L. Schriner, D.o PC | Respite Care | G-6045 West Pierson Rd, Flushing, MI 48433 | 2010-12-15 |
| 1154503993 | Ruelan Back and Neck Care Center Pllc | Chiropractor | G-6390 W Pierson Rd, Flushing, MI 48433 | 2007-12-04 |
| 1023130937 | Kimberly Christine Blakeslee | Dentist | 6221 W Pierson Road, Flushing, MI 48433 | 2007-04-04 |
| 1679636088 | Flushing Optical Inc | Optometrist | 105 S. Cherry Street, Flushing, MI 48433 | 2006-12-18 |
| 1245304161 | William Michael Trosko | Counselor | 1434 Flushing Road, Flushing, MI 48433 | 2006-11-20 |
| 1740211820 | Natalya A Brezden Dds Pllc | Dentist | G-6221 W Pierson Rd, Flushing, MI 48433 | 2006-07-06 |
| 1487621892 | Pharma Care Inc | Clinical Medical Laboratory | 209 S Cherry St, Flushing, MI 48433 | 2006-03-03 |
| Find all providers in zip 48433 | ||||
| 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 |
|---|---|---|---|---|
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1437770310 | Kissena Rx Pharmacy Inc | Pharmacy | 4121 Kissena Blvd, Flushing, NY 11355-3138 | 2020-05-01 |
| 1538718002 | Lo Ng Pharmacy Corp | Pharmacy | 44-45a Kissena Blvd, Flushing, NY 11355-3055 | 2019-09-08 |
| 1851859904 | Roosevelt Rx, Inc. | Pharmacy | 13357 Roosevelt Ave, Flushing, NY 11354-5254 | 2019-03-07 |
| 1750846226 | Elements Pharmacy Inc. | Pharmacy | 3808 Union St Ste 2d, Flushing, NY 11354-5544 | 2019-02-08 |
| 1740753862 | Affinity Rx Inc | Pharmacy | 7307 Main St, Flushing, NY 11367-2409 | 2019-01-11 |
| 1497229595 | Tamara Yunusova | Pharmacy | 14732 77th Ave, Flushing, NY 11367-3124 | 2019-01-11 |
| 1417429408 | Leavitt Pharmacy Inc | Pharmacy | 3519 Leavitt St Apt S1, Flushing, NY 11354-2992 | 2019-01-01 |
| 1467960864 | Kims Pharmacy Inc. | Pharmacy | 150-15 Northern Blvd, Flushing, NY 11354 | 2018-01-19 |
| 1285140624 | American Health Pharmacy Inc. | Pharmacy | 13310 41st Rd, Flushing, NY 11355-5864 | 2017-12-21 |
| Find all providers in FLUSHING | ||||
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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.