LIVONIA PHARMACY LLC (NPI# 1417368267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417368267 |
| Entity Type | Organization |
| Organization Name | LIVONIA PHARMACY LLC |
| Other Organization Name | LIVONIA PHARMACY |
| Practice Address |
17888 Farmington Rd Livonia MI 48152-3104 |
| Practice Telephone | 7347448110 |
| Practice Fax Number | 7347448114 |
| Mailing Telephone | 7347448110 |
| Mailing Fax Number | 7347448114 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | ROSAIAH KAVURI (PHARMACY MANAGER) |
| Authorized Official Telephone | 7347448110 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | Y |
| Parent Organization Name | LIVONIA PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010434 | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| livonia pharmacy | Doing Business As Name - Organization |
| Street Address |
17888 FARMINGTON RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366917148 | Rosaiah Kavuri | Pharmacist | 17888 Farmington Rd, Livonia, MI 48152-3104 | 2018-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1861028326 | J Walker Enterprises | Pharmacy | 3066 Hwy 78, Livonia, LA 70755 | 2020-03-17 |
| 1437609351 | Blooms Pharmacy LLC | Pharmacy | 16347 Middlebelt Rd, Livonia, MI 48154-3360 | 2016-10-04 |
| 1326420357 | Livonia Family Pharmacy LLC | Pharmacy | 15983 Middlebelt Rd, Livonia, MI 48154-3311 | 2015-06-25 |
| 1518392281 | El Noor LLC | Pharmacy | 20292 Middlebelt Rd, Suite B, Livonia, MI 48152-2002 | 2013-09-12 |
| 1417285404 | Farmington Drugs & Medical Supplies LLC | Pharmacy | 20434 Farmington Rd, Livonia, MI 48152-1416 | 2009-12-02 |
| 1952463663 | Livonia Drugs Inc. | Pharmacy | 33525 5 Mile Rd, Livonia, MI 48154-2861 | 2006-12-16 |
| 1497857734 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 37340 Five Mile Rd, Livonia, MI 48154-1900 | 2006-09-05 |
| 1679685507 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 29500 5 Mile Rd, Livonia, MI 48154-3710 | 2006-08-31 |
| 1891807756 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 8811 Newburgh Rd, Livonia, MI 48150-3424 | 2006-08-31 |
| 1720190655 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 19120 Middlebelt Rd, Livonia, MI 48152-2102 | 2006-08-31 |
| Find all providers in LIVONIA | ||||
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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.