REGENTS OF THE UNIVERSITY OF MICHIGAN AMBULATORY PHARMACY (NPI# 1518116789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518116789 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF MICHIGAN AMBULATORY PHARMACY |
| Practice Address |
4260 Plymouth Rd Room 1002 Ann Arbor MI 48109-2700 |
| Mailing Address |
1500 E Medical Center Dr # 2d301 Ann Arbor MI 48109-5000 |
| Practice Telephone | 7346475705 |
| Practice Fax Number | 7346476459 |
| Mailing Telephone | 7347643150 |
| Mailing Fax Number | 7347630306 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2009-02-02 |
| Authorized Official Name | JAMES STEVENSON (DIRECTOR OF PHARMACY SERVICES) |
| Authorized Official Telephone | 7346477794 |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF MICHIGAN AMBULATORY PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 5301006480 | MI | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033385851 | Regents of The University of Michigan Ambulatory Pharmacy | Pharmacy | 1500 E Medical Center Dr, Umh Ambulatory Pharmacy Services, Ann Arbor, MI 48109-5000 | 2008-05-01 |
| Street Address |
4260 PLYMOUTH RD ROOM 1002 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748537 | Henry Lauris Paulson | Psychiatry & Neurology | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2005-08-24 |
| 1487270997 | Anirudh Goyal | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-20 |
| 1902421001 | Bhushan Deshpande | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-15 |
| 1477178580 | Danielle Devlin | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-15 |
| 1902420110 | Melissa Ross | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-03 |
| 1699399881 | Stacy Lang | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-03 |
| 1205459559 | Bradley Disbrow | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-21 |
| 1356964704 | Ashlee Nicole Smith | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-20 |
| 1184247520 | Tatum Yvonne Zurawski | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-20 |
| 1841813318 | Karthik Padmanabhan | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| 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 |
|---|---|---|---|---|
| 1386164440 | Manoj Rathi | Pharmacy | 201 S 1st St Apt 712, Ann Arbor, MI 48104-1395 | 2017-06-20 |
| 1255787610 | Healthplus Pharmacy of Ann Arbor Inc | Pharmacy | 4350 Jackson Rd Ste 250, Ann Arbor, MI 48103-1890 | 2016-05-04 |
| 1003967035 | Regents of The University of Michigan | Pharmacy | 1500 E Medical Center Dr Spc 5008, Spc 5008, Ann Arbor, MI 48109-5008 | 2007-01-16 |
| 1922019561 | Cascade Hemophilia Consortium | Pharmacy | 517 W William St, Ann Arbor, MI 48103-4943 | 2006-08-10 |
| 1457382434 | Kmart of Michigan Inc | Pharmacy | 215 N Maple Rd, Ann Arbor, MI 48103-2823 | 2006-07-06 |
| 1255801148 | Michigan Urgent Care | Pharmacy | 3280 Washtenaw Ave, Ann Arbor, MI 48104-4250 | 2018-12-04 |
| 1639424385 | Sasco Village LLC | Pharmacy | 325 N Maple Rd, Ann Arbor, MI 48103-2824 | 2012-07-18 |
| 1619291788 | University of Michigan Health System | Pharmacy | 1500 E Medical Center Dr, B1-282 Cancer Center, Ann Arbor, MI 48109-5000 | 2010-03-18 |
| 1033385851 | Regents of The University of Michigan Ambulatory Pharmacy | Pharmacy | 1500 E Medical Center Dr, Umh Ambulatory Pharmacy Services, Ann Arbor, MI 48109-5000 | 2008-05-01 |
| 1366484933 | Regents of The University of Michigan | Pharmacy | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2006-06-11 |
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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.