CLINTON MEDICAL PHARMACY (NPI# 1245289362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245289362 |
| Entity Type | Organization |
| Organization Name | CLINTON MEDICAL PHARMACY |
| Other Organization Name | MGT INVESTMENTS ENTERPRISES LLC |
| Practice Address |
43475 Dalcoma Dr Suite 110 Clinton Township MI 48038-3591 |
| Practice Telephone | 5862287601 |
| Practice Fax Number | 5862287605 |
| Mailing Telephone | 5862287601 |
| Mailing Fax Number | 5862287605 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JENNIFER SMITH (CEO) |
| Authorized Official Telephone | 5862287601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008045 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | B7957R | 05 |
| Other Name | Type Code |
|---|---|
| mgt investments enterprises llc | Doing Business As Name - Organization |
| Street Address |
43475 DALCOMA DR SUITE 110 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-3591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013360650 | Health Delivery Inc | General Acute Care Hospital | 43475 Dalcoma Dr, 100, Clinton Township, MI 48038-3591 | 2016-07-19 |
| 1912365032 | Movement Orthopedics | Orthopaedic Surgery | 43475 Dalcoma Dr, Suite #160, Clinton Township, MI 48038-3591 | 2016-02-03 |
| 1134437684 | Blue Water Anesthesia Consultants, PC | Anesthesiology | 43475 Dalcoma Dr, Clinton Township, MI 48038-3591 | 2010-09-17 |
| 1649416231 | Clinton Partners, LLC | Clinic/Center | 43475 Dalcoma Dr, Clinton Township, MI 48038-3591 | 2009-01-02 |
| 1629279351 | Robert Lagrou | Psychiatry & Neurology | 43475 Dalcoma Dr, Clinton Township, MI 48038-3591 | 2007-05-30 |
| 1225255029 | Heather Naomi Capinjola | Physical Therapist | 43475 Dalcoma Dr, Suite 150, Clinton Township, MI 48038-3591 | 2007-04-20 |
| 1619006723 | Dalcoma Internal Medicine, Pllc | Internal Medicine | 43475 Dalcoma Dr, Suite 210, Clinton Township, MI 48038-3591 | 2007-03-05 |
| 1194854224 | Clinton Diagnostic, LLC | Clinic/Center | 43475 Dalcoma Dr, Suite 120, Clinton Township, MI 48038-3591 | 2007-03-05 |
| 1538298690 | Macomb Clinton Center for Wound Care and Hyperbaric Medicine. Pllc | Clinic/Center | 43475 Dalcoma Dr, Suite 150, Clinton Township, MI 48038-3591 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| 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 |
|---|---|---|---|---|
| 1043838881 | Ikare Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste 2, Clinton Township, MI 48038-6307 | 2020-07-08 |
| 1750928313 | Macomb Pharmacy and Wellness | Pharmacy | 37035 S Gratiot Ave, Clinton Township, MI 48036-2710 | 2019-12-03 |
| 1801393087 | Dart Rx LLC | Pharmacy | 35496 Groesbeck Hwy, Clinton Township, MI 48035-2517 | 2018-04-12 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1801908744 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 36540 Garfield Rd, Clinton Township, MI 48035-1133 | 2006-08-31 |
| 1215579941 | Dart Rx | Pharmacy | 35496 Groesbeck Hwy, Clinton Township, MI 48035 | 2019-10-15 |
| 1174965537 | Ella Pharmacy LLC | Pharmacy | 42645 Garfield Rd, Ste 102, Clinton Township, MI 48038-5022 | 2013-07-25 |
| 1154624534 | Vhs Childrens Hospital of Michigan Inc | Pharmacy | 42700 Garfield Rd, Suite 130, Clinton Township, MI 48038-4201 | 2010-12-07 |
| 1518100916 | Bgs Pharmacy LLC | Pharmacy | 37155 Harper Ave, Clinton Township, MI 48036-3013 | 2009-04-14 |
| 1417133307 | Childrens Hospital of Michigan | Pharmacy | 42700 Garfield Rd, Clinton Township, MI 48038-4201 | 2008-01-10 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on CLINTON MEDICAL PHARMACY.
| 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.