DETROIT MEDICAL CENTER DETROIT RECEIVING HOSPITAL (NPI# 1326242470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326242470 |
| Entity Type | Organization |
| Organization Name | DETROIT MEDICAL CENTER DETROIT RECEIVING HOSPITAL |
| Other Organization Name | DMC PHARMACY - MAIL SERVICE |
| Practice Address |
4201 Saint Antoine St Suite B Detroit MI 48201-2153 |
| Practice Telephone | 3139662436 |
| Practice Fax Number | 3139664924 |
| Mailing Telephone | 3139662436 |
| Mailing Fax Number | 3139664924 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. VINCENT HOWARD (DIRECTOR, RETAIL PHARMACY SERVICES) |
| Authorized Official Telephone | 3139660392 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
L1074015 | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| DMC Pharmacy - Mail Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184776338 | Detroit Medical Center Detroit Receiving Hospital | General Acute Care Hospital | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2007-01-17 |
| Street Address |
4201 SAINT ANTOINE ST SUITE B |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477871 | John Mckay Perkowski | Nurse Anesthetist, Certified Registered | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2005-09-14 |
| 1013517028 | Madappulli Arachchige Wickrama | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-10-28 |
| 1134731466 | Helda Bacall | Nurse Practitioner | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-08-18 |
| 1568088680 | Michelle De Varennes | Physician Assistant | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-24 |
| 1235754144 | Saren Yeranosian | Pharmacist | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-16 |
| 1083239230 | Jacqueline Ferraro-jaworski | Pharmacist | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-13 |
| 1770107617 | Zamaan Sayeed Sohel | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-06 |
| 1881218790 | Erin Marie Dinnell | Nurse Practitioner | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-05 |
| 1487276721 | Andrew R Kumar | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-05-09 |
| 1598386005 | Kayla Richelle Robinson | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1013245562 | Sigmapharm Co | Pharmacy | 8040 W Vernor Hwy, Detroit, MI 48209-1522 | 2009-11-20 |
| 1013189422 | Sigmapharm Co | Pharmacy | 8040 W Vernor Hwy, Detroit, MI 48209-1522 | 2008-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821220559 | Infu System Inc | Pharmacy | 31700 Research Park Dr, Madison Heights, MI 48071-4627 | 2009-08-13 |
| 1164616215 | Cms Pharmacy Inc | Pharmacy | 50496 Pontiac Trl, Suite 1300, Wixom, MI 48393-2027 | 2007-08-31 |
| 1295874246 | Taylor Discount Pharmacy | Pharmacy | 9320 Telegraph Rd, Taylor, MI 48180-3362 | 2007-02-06 |
| 1528106713 | Diplomat Specialty Pharmacy | Pharmacy | 214 Fulton St E, Suite 102, Grand Rapids, MI 49503-3211 | 2007-02-01 |
| 1720171622 | Caremed, LLC | Pharmacy | 7277 Bernice, Suite #102, Centerline, MI 48015 | 2006-10-02 |
| 1467017814 | Health Pointe Pharmacy LLC | Pharmacy | 22850 Kelly Rd Ste B, Eastpointe, MI 48021-2028 | 2019-05-01 |
| 1588142970 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-07-30 |
| 1790150266 | Zmc Pharmacy | Pharmacy | 1041 S Main St, Fl1, Royal Oak, MI 48067-3274 | 2015-12-09 |
| 1174931943 | Meds & More, LLC | Pharmacy | 2300 Biddle Ave, Suite 101, Wyandotte, MI 48192-4650 | 2014-07-24 |
| 1508299710 | Omega Pharmacy LLC | Pharmacy | 640 Auburn Ave, Pontiac, MI 48342-3365 | 2013-08-12 |
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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.