ISIDRO II INC (NPI# 1528522521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528522521 |
| Entity Type | Organization |
| Organization Name | ISIDRO II INC |
| Other Organization Name | UNIVERSITY PHARMACY |
| Practice Address |
10809 Mack Ave Detroit MI 48214-2119 |
| Mailing Address |
46471 Creekside Ct Canton MI 48187-5227 |
| Practice Telephone | 3138312008 |
| Practice Fax Number | 3138312122 |
| Mailing Telephone | 7348129129 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2020-10-24 |
| Authorized Official Name | MARIA CHRISTINA YOUNG (PRESIDENT) |
| Authorized Official Telephone | 7348129129 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | ISIDRO II, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DME PTAN | 6080950001 | 01 |
| Other Name | Type Code |
|---|---|
| University Pharmacy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3120 Carpenter St Ste 105, Hamtramck, MI 482122771 | 3138312008 | 3138312122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099600 | Isidro II Inc | Pharmacist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-05-21 |
| 1295918274 | Isidro II Inc | Pharmacy | 10809 Mack Ave, Detroit, MI 48214-2119 | 2007-12-12 |
| Street Address |
10809 MACK AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848619 | Sylvia G Mustonen | Family Medicine | 10809 Mack Ave, Detroit, MI 48214-2119 | 2005-06-01 |
| 1265099600 | Isidro II Inc | Pharmacist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-05-21 |
| 1457815565 | Isidro II, Inc | Health Educator | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-01-23 |
| 1306233259 | Ashley Mcneil | Student in an Organized Health Care Education/Training Program | 10809 Mack Ave, Detroit, MI 48214-2119 | 2015-04-17 |
| 1992069819 | Ryan Thomas Christensen | Emergency Medicine | 10809 Mack Ave, Detroit, MI 48214-2119 | 2012-06-25 |
| 1619251444 | Melissa Ann Chambers | Physician Assistant | 10809 Mack Ave, Detroit, MI 48214-2119 | 2011-09-28 |
| 1760659460 | Jay Shankar Jha | Physical Therapist | 10809 Mack Ave, Suite Pt, Detroit, MI 48214-2119 | 2008-05-12 |
| 1295918274 | Isidro II Inc | Pharmacy | 10809 Mack Ave, Detroit, MI 48214-2119 | 2007-12-12 |
| 1740306778 | Maria Christina Young | Pharmacist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2007-03-21 |
| 1194864462 | Vanguard Family Health Care PC | Podiatrist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600463 | Milk Moves LLC | Durable Medical Equipment & Medical Supplies | 18032 James Couzens Fwy, Detroit, MI 48235-2646 | 2020-05-15 |
| 1013540202 | Panacea Therapeutic Solutions LLC | Durable Medical Equipment & Medical Supplies | 3815 W Fort St Ste 207, Detroit, MI 48216-1652 | 2020-02-17 |
| 1023663366 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 660 Woodward Ave Ste 100rx, Detroit, MI 48226-3516 | 2019-08-05 |
| 1235693714 | Manely Yours LLC | Durable Medical Equipment & Medical Supplies | 5525 Lenox St, Detroit, MI 48213-3563 | 2019-01-29 |
| 1306310594 | Dan Miller | Durable Medical Equipment & Medical Supplies | 1001 Woodward Ave Ste 500, Detroit, MI 48226-1920 | 2019-01-22 |
| 1467943852 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3901 Beaubien St Rm 108, Detroit, MI 48201-2119 | 2018-05-22 |
| 1811488281 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6001 W Outer Dr Ste 110, Detroit, MI 48235 | 2018-05-22 |
| 1063903458 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4201 Saint Antoine St Ste 2m, Detroit, MI 48201-2153 | 2018-05-22 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1548768609 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 6071 W Outer Dr Ste M106, Detroit, MI 48235-2624 | 2018-01-24 |
| Find all providers in DETROIT | ||||
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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.