LONG LAKE RX (NPI# 1487126926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487126926 |
| Entity Type | Organization |
| Organization Name | LONG LAKE RX |
| Practice Address |
2888 E Long Lake Rd Suite 120 Troy MI 48085 |
| Practice Telephone | 3137777778 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Authorized Official Name | MOHAMAD ABOUKHODR (OWNER) |
| Authorized Official Telephone | 3137777778 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| Street Address |
2888 E LONG LAKE RD SUITE 120 |
| City | TROY |
| State | MI |
| Zip Code | 48085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| 1639429392 | Golden Touch Home Health Care, LLC | Home Health | 2888 E. Long Lake Rd, Suite 125, Troy, MI 48085 | 2012-09-10 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
| 1427516608 | Option Care Infusion Suites, LLC. | Pharmacy | 1500 W Big Beaver Rd Ste 100, Troy, MI 48084-3522 | 2019-03-07 |
| 1013394378 | Onecare Ltc | Pharmacy | 1945 Heide Dr Ste A, Troy, MI 48084-5313 | 2015-05-06 |
| 1144612466 | Troy City Pharmacy Inc | Pharmacy | 1903 E Wattles Rd, Troy, MI 48085-5083 | 2015-02-24 |
| 1801135777 | Henr Y Ford Health System | Pharmacy | 1414 E Maple Rd Ste 103, Troy, MI 48083-9935 | 2013-02-12 |
| 1346305760 | Shirley Dobbins | Pharmacy | 404 E Harper St, Troy, TN 38260-5946 | 2006-12-26 |
| 1518030030 | Kroger Limited Partnership I | Pharmacy | 1 Troy Sq, Troy, MO 63379-3101 | 2006-11-15 |
| 1992898332 | Prescriptions Plus Pharmacy of Troy Inc | Pharmacy | 523 Troy Plz, Troy, IL 62294-1349 | 2006-09-30 |
| 1902906001 | Clarks Rx LLC | Pharmacy | 414 W Main St, Troy, OH 45373-3244 | 2006-09-25 |
| 1962505693 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1329 S Brundidge St, Troy, AL 36081-3126 | 2006-09-07 |
| Find all providers in TROY | ||||
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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.