ISIDRO II INC (NPI# 1265099600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265099600 |
| Entity Type | Organization |
| Organization Name | ISIDRO II INC |
| Other Organization Name | UNIVERSITY PHARMACY |
| Practice Address |
10809 Mack Ave Detroit MI 48214-2119 |
| Mailing Address |
46471 Creekside Ct Canton MI 48187-5227 |
| Practice Telephone | 3138312008 |
| Practice Fax Number | 3138312122 |
| Mailing Telephone | 7348129129 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MARIA CHRISTINA YOUNG (PRESIDENT) |
| Authorized Official Telephone | 3138312008 |
| Is Organization Subpart | Y |
| Parent Organization Name | ISIDRO II INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MASS IMMUNIZATION | 0P60030 | 01 |
| Other Name | Type Code |
|---|---|
| University Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528522521 | Isidro II Inc | Durable Medical Equipment & Medical Supplies | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-01-24 |
| 1295918274 | Isidro II Inc | Pharmacy | 10809 Mack Ave, Detroit, MI 48214-2119 | 2007-12-12 |
| Street Address |
10809 MACK AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848619 | Sylvia G Mustonen | Family Medicine | 10809 Mack Ave, Detroit, MI 48214-2119 | 2005-06-01 |
| 1528522521 | Isidro II Inc | Durable Medical Equipment & Medical Supplies | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-01-24 |
| 1457815565 | Isidro II, Inc | Health Educator | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-01-23 |
| 1306233259 | Ashley Mcneil | Student in an Organized Health Care Education/Training Program | 10809 Mack Ave, Detroit, MI 48214-2119 | 2015-04-17 |
| 1992069819 | Ryan Thomas Christensen | Emergency Medicine | 10809 Mack Ave, Detroit, MI 48214-2119 | 2012-06-25 |
| 1619251444 | Melissa Ann Chambers | Physician Assistant | 10809 Mack Ave, Detroit, MI 48214-2119 | 2011-09-28 |
| 1760659460 | Jay Shankar Jha | Physical Therapist | 10809 Mack Ave, Suite Pt, Detroit, MI 48214-2119 | 2008-05-12 |
| 1295918274 | Isidro II Inc | Pharmacy | 10809 Mack Ave, Detroit, MI 48214-2119 | 2007-12-12 |
| 1740306778 | Maria Christina Young | Pharmacist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2007-03-21 |
| 1194864462 | Vanguard Family Health Care PC | Podiatrist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1427167196 | Springwells Clinical Pharmacy Inc. | Pharmacy | 2117 Springwells St, Detroit, MI 48209-1507 | 2006-08-29 |
| 1700377538 | Covenant Community Care, Inc. | Pharmacy | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2018-05-29 |
| 1679737480 | Detroit Community Health Connection | Pharmacy | 7900 Kercheval St, Detroit, MI 48214-2439 | 2008-07-11 |
| 1447433842 | City of Detroit | Pharmacy | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2007-12-10 |
| 1669673745 | A&h Pharmacy Services | Pharmacy | 15000 Gratiot Ave, Suite 140, Detroit, MI 48205-1973 | 2007-05-29 |
| 1275676066 | Trinity Health Michigan | Pharmacy | 5555 Conner St, Suite 2691, Detroit, MI 48213-3448 | 2007-02-14 |
| 1275617599 | Community Health and Social Services Center, Inc. | Pharmacy | 5635 W Fort St, Detroit, MI 48209-3154 | 2006-10-24 |
| 1053351908 | Franklin Medical Pharmacy Inc | Pharmacy | 17950 Woodward Ave, Detroit, MI 48203-2260 | 2006-06-08 |
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|---|---|---|---|---|
| 1134744907 | Us Health Pharmaceuticals | Pharmacy | 23350 Greenfield Rd # 200b, Oak Park, MI 48237-2496 | 2020-06-08 |
| 1386286615 | Campus Drugs LLC | Pharmacy | 1065 N Huron River Dr Ste 600, Ypsilanti, MI 48197-3296 | 2019-10-08 |
| 1457850786 | Village Pharmacy Compounding 2 Inc | Pharmacy | 23077 Greenfield Rd Ste 100, Southfield, MI 48075-3744 | 2018-02-01 |
| 1225122724 | Blue Care Network of Michigan Pharmacy II | Pharmacy | 1401 S. Creyts Rd., Lansing, MI 48917 | 2006-10-02 |
| 1023059920 | Monroe Health Ventures, Inc | Pharmacy | 100 Powell Dr Suite 1, Dundee, MI 48131 | 2006-06-10 |
| 1861441768 | Pmc Pharmacy Inc | Pharmacy | 1241 W Broadway St, Three Rivers, MI 49093-8319 | 2006-05-08 |
| 1023654902 | Drug Store Inc | Pharmacy | 2236 Us Highway 23 S, Alpena, MI 49707-4544 | 2019-11-26 |
| 1033679071 | Quad/med, LLC | Pharmacy | 715 E Main St, Midland, MI 48640 | 2019-03-25 |
| 1619408424 | Peninsula Pharmacy Escanaba LLC | Pharmacy | 2500 7th Ave S, Ste 200, Escanaba, MI 49829-1292 | 2017-03-23 |
| 1467997239 | Little River Band of Ottawa Indians | Pharmacy | 2608 Government Center Dr, Manistee, MI 49660-8302 | 2017-01-03 |
| Find all providers with the same taxonomy | ||||
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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.