PRESTIGE SPECIALTY PHARMACY LLC (NPI# 1588142970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588142970 |
| Entity Type | Organization |
| Organization Name | PRESTIGE SPECIALTY PHARMACY LLC |
| Other Organization Name | PRESTIGE SPECIALTY PHARMACY |
| Practice Address |
3739 15 Mile Rd Sterling Heights MI 48310 |
| Practice Telephone | 8777427621 |
| Practice Fax Number | 5868839388 |
| Mailing Telephone | 8777427621 |
| Mailing Fax Number | 5868839388 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | AMRO SHARAFELDIN (CEO) |
| Authorized Official Telephone | 8777427621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
5301011349 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1306340955 | 05 |
| Other Name | Type Code |
|---|---|
| prestige specialty pharmacy | Doing Business As Name - Organization |
| Prestige Specialty Pharmacy LLC | Doing Business As Name - Organization |
| Prestige Specialty Pharmacy LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1548750714 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-05-14 |
| Street Address |
3739 15 MILE RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1548750714 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-05-14 |
| 1679070320 | Iman Gomaa | Pharmacist | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| 1710414685 | Valerie Ann Grobbel | Nurse Practitioner | 2311 15 Mile Rd Suite A, Sterling Heights, MI 48310 | 2017-05-22 |
| Find all providers in zip 48310 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1821220559 | Infu System Inc | Pharmacy | 31700 Research Park Dr, Madison Heights, MI 48071-4627 | 2009-08-13 |
| 1164616215 | Cms Pharmacy Inc | Pharmacy | 50496 Pontiac Trl, Suite 1300, Wixom, MI 48393-2027 | 2007-08-31 |
| 1295874246 | Taylor Discount Pharmacy | Pharmacy | 9320 Telegraph Rd, Taylor, MI 48180-3362 | 2007-02-06 |
| 1528106713 | Diplomat Specialty Pharmacy | Pharmacy | 214 Fulton St E, Suite 102, Grand Rapids, MI 49503-3211 | 2007-02-01 |
| 1720171622 | Caremed, LLC | Pharmacy | 7277 Bernice, Suite #102, Centerline, MI 48015 | 2006-10-02 |
| 1467017814 | Health Pointe Pharmacy LLC | Pharmacy | 22850 Kelly Rd Ste B, Eastpointe, MI 48021-2028 | 2019-05-01 |
| 1790150266 | Zmc Pharmacy | Pharmacy | 1041 S Main St, Fl1, Royal Oak, MI 48067-3274 | 2015-12-09 |
| 1174931943 | Meds & More, LLC | Pharmacy | 2300 Biddle Ave, Suite 101, Wyandotte, MI 48192-4650 | 2014-07-24 |
| 1508299710 | Omega Pharmacy LLC | Pharmacy | 640 Auburn Ave, Pontiac, MI 48342-3365 | 2013-08-12 |
| 1013245562 | Sigmapharm Co | Pharmacy | 8040 W Vernor Hwy, Detroit, MI 48209-1522 | 2009-11-20 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
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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.