KEYSTONE SPECIALTY CARE PHARMACY (NPI# 1295372118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295372118 |
| Entity Type | Organization |
| Organization Name | KEYSTONE SPECIALTY CARE PHARMACY |
| Practice Address |
46325 W 12 Mile Rd Ste 150 Novi MI 48377-2458 |
| Practice Telephone | 3138052444 |
| Mailing Telephone | 2482673004 |
| Mailing Fax Number | 2482673005 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | HALA BAZZI-LANG (PHARMACIST) |
| Authorized Official Telephone | 3138052444 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
46325 W 12 MILE RD STE 150 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710268552 | Hala J Bazzi-lang | Pharmacist | 46325 W 12 Mile Rd Ste 150, Novi, MI 48377-2458 | 2011-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| 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 |
|---|---|---|---|---|
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1639278930 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 42191 W 14 Mile Rd, Novi, MI 48377-1401 | 2006-09-22 |
| 1104938059 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22240 Novi Rd, Novi, MI 48375-4707 | 2006-08-31 |
| 1407968340 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 31250 Beck Rd, Novi, MI 48377-1022 | 2006-08-31 |
| 1457463309 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 47200 W 10 Mile Rd, Novi, MI 48374-2932 | 2006-08-31 |
| 1619439577 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave, Suite 550, Novi, MI 48375 | 2019-04-01 |
| 1023588779 | Sam Pharmacy Rx LLC | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2018-11-26 |
| 1114466182 | Infinite Pharmacy Services, LLC | Pharmacy | 25500 Meadowbrook Rd Ste 160, Novi, MI 48375-1881 | 2017-02-23 |
| 1255655247 | Goldberg Pharmacy Inc | Pharmacy | 39500 W 10 Mile Rd, Suite 111, Novi, MI 48375-2947 | 2010-03-18 |
| 1487738480 | Affiliated Health Services | Pharmacy | 26850 Providence Pkwy, Suite 100, Novi, MI 48374-1213 | 2006-10-25 |
| Find all providers in NOVI | ||||
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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.