WAKEFIELD PHARMACY ENTERPRISES LTD (NPI# 1528073145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528073145 |
| Entity Type | Organization |
| Organization Name | WAKEFIELD PHARMACY ENTERPRISES LTD |
| Other Organization Name | WAKEFIELD PHARMACY |
| Practice Address |
408 Sunday Lake St Wakefield MI 49968-1338 |
| Mailing Address |
Po Box 171 Wakefield MI 49968-0171 |
| Practice Telephone | 9062295966 |
| Practice Fax Number | 9062295707 |
| Mailing Telephone | 9062295966 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2013-09-04 |
| Authorized Official Name | KATHY ROCCO (OWNER) |
| Authorized Official Telephone | 9062295966 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 5301008317 | MI | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5301008317 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2327953 | 01 | |
| MI | 871923680 | 05 |
| Other Name | Type Code |
|---|---|
| WAKEFIELD PHARMACY | Doing Business As Name - Organization |
| Street Address |
408 SUNDAY LAKE ST |
| City | WAKEFIELD |
| State | MI |
| Zip Code | 49968-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881085017 | Gina Cummings | Registered Nurse | 103 W Us2, Wakefield, MI 49968 | 2015-02-10 |
| 1790906675 | Robert Wester Aukee | Dentist | 411 Brotherton St, Wakefield, MI 49968 | 2007-05-01 |
| 1508925884 | William Smith Malloy Jr. | Social Worker | 103 West U.S. 2, Wakefield, MI 49968 | 2006-12-06 |
| 1356786057 | Wendy Suzanne Krall-tibaldo | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968 | 2013-05-08 |
| 1124239975 | Diane Frances Hill | Counselor | 103 West U.S. 2, Wakefield, MI 49968 | 2007-05-24 |
| 1447467311 | Barbra B Braithwaite | Psychologist | 103 West U.S. 2, Wakefield, MI 49968 | 2007-05-17 |
| 1346457363 | Michael D Rubatt | Counselor | 103 West U.S. 2, Wakefield, MI 49968 | 2007-05-17 |
| 1932277407 | Michael J Gregor | Dentist | 606 Putnam St, Wakefield, MI 49968-1024 | 2006-12-01 |
| 1164661708 | Laura Ann Novascone | Registered Nurse | 407 Brotherton St, Wakefield, MI 49968-1326 | 2009-02-04 |
| 1427297001 | Scott D Novascone | Registered Nurse | 407 Brotherton St, Wakefield, MI 49968-1326 | 2009-02-05 |
| Find all providers in zip 49968 | ||||
| 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 |
|---|---|---|---|---|
| 1780781120 | Wakefield Prescription Center,inc | Pharmacy | 580 Kingstown Rd, Wakefield, RI 02879-3600 | 2006-09-20 |
| 1699298455 | Walgreen Co | Pharmacy | 604 Kingstown Rd, Wakefield, RI 02879 | 2017-07-24 |
| 1881810885 | Greenwood Pharmacy Inc. | Pharmacy | 949 Main St, Wakefield, MA 01880-3927 | 2007-04-18 |
| 1306945753 | Cvs Pharmacy Inc | Pharmacy | 451 Main St, Wakefield, MA 01880-3354 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.