THE WELLNESS PLAN MEDICAL CENTERS (NPI# 1386684033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386684033 |
| Entity Type | Organization |
| Organization Name | THE WELLNESS PLAN MEDICAL CENTERS |
| Other Organization Name | THE WELLNESS PLAN |
| Practice Address |
4909 E Outer Dr Detroit MI 48234-3446 |
| Mailing Address |
7700 2nd Ave Detroit MI 48202-2477 |
| Practice Telephone | 3133662000 |
| Practice Fax Number | 3133693950 |
| Mailing Telephone | 3132028660 |
| Mailing Fax Number | 3132028653 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | ANTHONY V KING (CEO & EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3132028550 |
| 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 |
5301003705 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1887996 | 05 | |
| PK | 2043107 | 01 |
| Other Name | Type Code |
|---|---|
| The Wellness Plan | Doing Business As Name - Organization |
| THE WELLNESS PLAN MEDICAL CENTERS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114420353 | The Wellness Plan Medical Centers | Clinic/Center | 27321 Hampden St Rm 202, Madison Heights, MI 48071-3113 | 2018-03-14 |
| 1235651381 | The Wellness Plan Medical Centers | Family Medicine | 46156 Woodward Ave, Pontiac, MI 48342-5033 | 2017-07-11 |
| 1427416783 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2016-02-02 |
| 1447675434 | The Wellness Plan Medical Centers | Clinic/Center | 44405 Woodward Ave, Suite H-13, Pontiac, MI 48341-5023 | 2014-02-27 |
| 1558614289 | The Wellness Plan Medical Centers | Obstetrics & Gynecology | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2012-10-18 |
| 1801148911 | The Wellness Plan Medical Centers | Dentist | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2012-10-12 |
| 1669632816 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2008-06-11 |
| 1982863478 | The Wellness Plan Medical Centers | Clinic/Center | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2008-06-09 |
| 1043373244 | The Wellness Plan Medical Centers | Clinic/Center | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2006-12-18 |
| 1649229287 | The Wellness Plan Medical Centers | Internal Medicine | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2006-05-10 |
| Street Address |
4909 E OUTER DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952832172 | Alexis Narlene Marquez | Pharmacist | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2017-03-21 |
| 1770933574 | Aurielle Marie Fanning | Family Medicine | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2016-06-13 |
| 1427416783 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2016-02-02 |
| 1093180044 | The Wellness Plan | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2015-12-02 |
| 1336526292 | Inga Monae Leverett | Nurse Practitioner | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2015-04-29 |
| 1669632816 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2008-06-11 |
| 1851478614 | Rhona A Fingal | Internal Medicine | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2006-11-01 |
| 1447337886 | Arathi Raman | Family Medicine | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2006-11-01 |
| 1366527673 | Ronald Benjamin Dalton | Pediatrics | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| 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 |
|---|---|---|---|---|
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1912523986 | Gratiot Seven Pharmacy, LLC | Pharmacy | 12740 Gratiot Ave Ste 100, Detroit, MI 48205-3944 | 2020-06-24 |
| 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 | ||||
Please comment or provide details below to improve the information on THE WELLNESS PLAN MEDICAL CENTERS.
| 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.