TRINITY HEALTH MICHIGAN (NPI# 1275676066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275676066 |
| Entity Type | Organization |
| Organization Name | TRINITY HEALTH MICHIGAN |
| Other Organization Name | MERCY PRIMARY CARE CENTER PHARMACY |
| Practice Address |
5555 Conner St Suite 2691 Detroit MI 48213-3448 |
| Practice Telephone | 3135794004 |
| Practice Fax Number | 3132670057 |
| Mailing Telephone | 3135794004 |
| Mailing Fax Number | 3132670057 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2017-06-01 |
| Authorized Official Name | MS. TAWANA MIDDLE NETTLES-ROBINSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3136928400 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTH MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 5301007421 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Primary Care Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942333786 | Trinity Health Michigan | Family Medicine | 5555 Conner St, Ste. 2691, Detroit, MI 48213-3448 | 2007-03-13 |
| Street Address |
5555 CONNER ST SUITE 2691 |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237551 | Mary L Serowoky | Nurse Practitioner | 5555 Conner St, St 2691, Detroit, MI 48213-3448 | 2005-06-30 |
| 1902422751 | Dhaara Antani | Dietitian, Registered | 5555 Conner St, Detroit, MI 48213-3448 | 2020-06-17 |
| 1164066643 | Bethany J. Howard | Case Manager/Care Coordinator | 5555 Conner St, Detroit, MI 48213-3448 | 2019-10-29 |
| 1699234153 | Madison Community Hospital Inc | Nurse Practitioner | 5555 Conner St, Detroit, MI 48213-3448 | 2019-03-14 |
| 1700357563 | Ashley Henninger | Speech-Language Pathologist | 5555 Conner St, Detroit, MI 48213-3448 | 2018-12-05 |
| 1720564651 | Metropolitan Detroit Center for Independent Living | Case Management | 5555 Conner St, Detroit, MI 48213-3448 | 2018-07-13 |
| 1386158962 | Sharon Diane Fowler | Counselor | 5555 Conner St, Detroit, MI 48213-3448 | 2017-11-19 |
| 1346605847 | Shannon Crumbley | In Home Supportive Care | 5555 Conner St, 2079c, Detroit, MI 48213-3448 | 2015-12-28 |
| 1083080121 | Sonya Shelman | Social Worker | 5555 Conner St, Detroit, MI 48213-3448 | 2015-08-12 |
| 1629450960 | Marquetta Turner | Social Worker | 5555 Conner St, Suite 1038, Detroit, MI 48213-3448 | 2015-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on TRINITY HEALTH MICHIGAN.
| 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.