PRIME CARE PHARMACY LLC (NPI# 1508212366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508212366 |
| Entity Type | Organization |
| Organization Name | PRIME CARE PHARMACY LLC |
| Other Organization Name | PRIME CARE PHARMACY LLC |
| Practice Address |
3 Heritage Dr # 3 Southgate MI 48195-3000 |
| Practice Telephone | 7343241290 |
| Practice Fax Number | 7343241292 |
| Mailing Telephone | 7343241290 |
| Mailing Fax Number | 7343241292 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | RABIH EL-SIBAI (PRESIDENT, AO) |
| Authorized Official Telephone | 3135252425 |
| 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 |
5301010925 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160603 | 01 |
| Other Name | Type Code |
|---|---|
| Prime Care Pharmacy LLC | Doing Business As Name - Organization |
| Street Address |
3 HERITAGE DR # 3 |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1881108454 | Vitale Rx LLC | Pharmacy | 14635 Northline Rd, Southgate, MI 48195-2483 | 2017-11-18 |
| 1497053086 | N A & S Drugs, Inc | Pharmacy | 15600 Northline Rd, Southgate, MI 48195-2350 | 2011-03-05 |
| 1770685018 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 15300 Eureka Rd, Southgate, MI 48195-3261 | 2006-09-05 |
| 1821100751 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 11125 Allen Rd, Southgate, MI 48195-3331 | 2006-08-31 |
| 1497381800 | Stopin Pharmacy LLC | Pharmacy | 13636 Dix Toledo Rd, Southgate, MI 48195-2432 | 2020-03-17 |
| 1942767660 | Southgate Family Pharmacy, LLC | Pharmacy | 15450 Northline Rd Ste 102, Southgate, MI 48195-2490 | 2019-02-28 |
| 1477002970 | Meijer | Pharmacy | 16300 Fort St, Pharmacy, Southgate, MI 48195-1428 | 2016-09-25 |
| 1154714210 | Raz Drugs Inc | Pharmacy | 14799 Dix Toledo Rd, Suite 2, Southgate, MI 48195-2507 | 2015-03-13 |
| 1659779064 | Specialty Medical Drugstore | Pharmacy | 525 Alexandria Pike, Southgate, KY 41071-3290 | 2014-12-17 |
| 1780904748 | Vip Pharmacy Inc | Pharmacy | 14319 Dix Toledo Rd, Southgate, MI 48195-2506 | 2010-06-01 |
| Find all providers in SOUTHGATE | ||||
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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.