ISIDRO II INC (NPI# 1295918274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295918274 |
| 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 | 3138312008 |
| Mailing Fax Number | 3138312122 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2020-10-24 |
| Authorized Official Name | MARIA YOUNG (OWNER, PRES, PIC) |
| Authorized Official Telephone | 3138312008 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008406 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2043557 | 01 | |
| MI | 1982884318 | 05 |
| Other Name | Type Code |
|---|---|
| UNIVERSITY PHARMACY | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5254 Anthony Wayne Dr, Detroit, MI 482023924 | 3138312008 | 3138312122 |
| 3120 Carpenter St Ste 105, Hamtramck, MI 482122771 | 3138312008 | 3138312122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099600 | Isidro II Inc | Pharmacist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-05-21 |
| 1528522521 | Isidro II Inc | Durable Medical Equipment & Medical Supplies | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-01-24 |
| 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 |
| 1265099600 | Isidro II Inc | Pharmacist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-05-21 |
| 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 |
| 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 | 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] |
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| 1396361366 | Grand Greenfield Pharmacy, LLC | Pharmacy | 14661 Greenfield Rd Ste B, Detroit, MI 48227-2231 | 2020-06-24 |
| 1114556859 | Buena Salud LLC | Pharmacy | 7607 W Vernor Hwy, Detroit, MI 48209-1513 | 2020-04-04 |
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1952938516 | Sinai Medical Pharmacy, LLC | Pharmacy | 16841 Schaefer Hwy, Detroit, MI 48235-4271 | 2020-03-24 |
| 1881231991 | Six Mile Medical Pharmacy, LLC | Pharmacy | 10420 W Mcnichols Rd Ste A, Detroit, MI 48221-2356 | 2019-12-08 |
| 1215570791 | Goshen Pharmacy LLC | Pharmacy | 16800 Greenfield Rd Unit B2, Detroit, MI 48235-3703 | 2019-10-28 |
| Find all providers in DETROIT | ||||
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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.