CENTRAL RX LLC (NPI# 1295341162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295341162 |
| Entity Type | Organization |
| Organization Name | CENTRAL RX LLC |
| Practice Address |
20733 E 13 Mile Rd Roseville MI 48066-4503 |
| Practice Telephone | 5864154844 |
| Mailing Telephone | 5864154844 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | FANAR JWAIDA (PIC) |
| Authorized Official Telephone | 2487620901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Fan's Family Pharmacy | Doing Business As Name - Organization |
| Street Address |
20733 E 13 MILE RD |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093921686 | Fanar W Jwaida | Pharmacist | 20733 E 13 Mile Rd, Roseville, MI 48066-4503 | 2007-05-14 |
| 1124464466 | Roseville Rx, Inc. | Pharmacy | 20733 E 13 Mile Rd, Roseville, MI 48066-4503 | 2013-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| 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 |
|---|---|---|---|---|
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1568735991 | Kaiser Foundation Health Plan Inc | Pharmacy | 1600 Eureka Rd Bldg 1, Roseville, CA 95661-3027 | 2012-02-15 |
| 1164659355 | Kaiser Foundation Health Plan Inc | Pharmacy | 1600 Eureka Rd Bldg 2, Roseville, CA 95661-3027 | 2009-06-16 |
| 1225103807 | Priceless Drug Store | Pharmacy | 446 Roseville Sq, Roseville, CA 95678-2808 | 2006-11-21 |
| 1992815591 | Costco Wholesale Corporation | Pharmacy | 6750 Stanford Ranch Rd, Roseville, CA 95678 | 2006-08-30 |
| 1720003387 | Bormans Inc | Pharmacy | 30851 Gratiot Ave, Roseville, MI 48066-1769 | 2006-07-13 |
| 1750312740 | Kmart of Michigan Inc | Pharmacy | 17580 Frazho Rd, Roseville, MI 48066-3829 | 2006-07-06 |
| 1417990284 | Longs Drug Stores California Inc | Pharmacy | 900 Sunrise Ave, Roseville, CA 95661-4507 | 2006-06-13 |
| 1215974647 | Lucky Stores II LLC | Pharmacy | 5060 Foothills Blvd, Roseville, CA 95747-6500 | 2006-06-02 |
| 1508489303 | Fortify Market | Pharmacy | 1 Adventist Health Way, Roseville, CA 95661-3266 | 2020-05-27 |
| Find all providers in ROSEVILLE | ||||
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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.