FOWLERVILLE RX LLC (NPI# 1326057308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326057308 |
| Entity Type | Organization |
| Organization Name | FOWLERVILLE RX LLC |
| Other Organization Name | FOWLERVILLE PHARMACY |
| Practice Address |
119 E Grand River Ave Fowlerville MI 48836 |
| Practice Telephone | 5172239832 |
| Practice Fax Number | 5172237267 |
| Mailing Telephone | 5172239832 |
| Mailing Fax Number | 5172237267 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | KRISHNA KANDAGATLA (MEMBER) |
| Authorized Official Telephone | 5173166716 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301004232 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2339100 | 05 |
| Other Name | Type Code |
|---|---|
| FOWLERVILLE PHARMACY | Doing Business As Name - Organization |
| Street Address |
119 E GRAND RIVER AVE |
| City | FOWLERVILLE |
| State | MI |
| Zip Code | 48836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228003 | Michael Paul Heidt | Pharmacist | 119 E Grand River Ave, Fowlerville, MI 48836-5109 | 2020-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914638 | Angelina Dedvukaj | Dentist | 175 W Van Riper Rd, Fowlerville, MI 48836 | 2019-10-23 |
| 1740786540 | Marnie Schmidt | Registered Nurse | 202 E Van Riper Rd # 100, Fowlerville, MI 48836 | 2018-04-02 |
| 1518305929 | Aaron Kyle Treiber | Physical Therapist | 125 East Grand River, Fowlerville Physical Therapy Specialists, Fowlerville, MI 48836 | 2013-06-07 |
| 1689012387 | James Duane Leland | Physical Therapist | 125 East Grand, Fowlerville Physical Therapy Specialists, Fowlerville, MI 48836 | 2013-06-05 |
| 1568728822 | Tegan Wetherbee Roobol | Physical Therapist | 125 E. Grand River, Fowlerville Physical Therapy Specialists, Fowlerville, MI 48836 | 2012-04-11 |
| 1619190774 | Manpreet K Chahal | Dentist | 175 W. Van Riper Rd., Box 978, Fowlerville, MI 48836 | 2007-04-10 |
| 1023156270 | Vikram Prasad | Family Medicine | 775 South Grand Avenue, Fowlerville, MI 48836 | 2007-02-01 |
| 1043361876 | Mns Pllc | Dentist | 175 W. Van Riper Road, Fowlerville, MI 48836 | 2007-01-16 |
| 1598834962 | Fowlerville Chiropractic Center | Chiropractor | 114 South Second Street, Fowlerville, MI 48836 | 2006-11-07 |
| 1902819147 | Andre J Hansen | Dentist | 753 S Grand, Fowlerville, MI 48836 | 2006-08-15 |
| Find all providers in zip 48836 | ||||
| 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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| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | FOWLERVILLE |
| Zip Code | 48836 |
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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.