BORDEN S FAMILY PHARMACY LLC (NPI# 1619306875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619306875 |
| Entity Type | Organization |
| Organization Name | BORDEN S FAMILY PHARMACY LLC |
| Other Organization Name | OUR FAMILY PHARMACY |
| Practice Address |
415 W Vienna St Clio MI 48420 |
| Mailing Address |
415 W Vienna St Clio MI 48420-1307 |
| Practice Telephone | 8105471278 |
| Practice Fax Number | 8105471542 |
| Mailing Telephone | 8105471278 |
| Mailing Fax Number | 8105471542 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | KYLE V BROTHERTON (OWNER/ PHARMACIST-IN-CHARGE) |
| Authorized Official Telephone | 8105471278 |
| Authorized Official Credential | PHARM. D. |
| 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 |
5301010744 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1619306875 | 05 | |
| PK | 2142935 | 01 |
| Other Name | Type Code |
|---|---|
| OUR FAMILY PHARMACY | Doing Business As Name - Organization |
| Street Address |
415 W VIENNA ST |
| City | CLIO |
| State | MI |
| Zip Code | 48420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496333 | Bordens Pharmacy Inc | Pharmacy | 415 W Vienna St, Clio, MI 48420-1307 | 2005-06-11 |
| 1669966263 | Kyle V Brotherton | Pharmacist | 415 W Vienna St, Clio, MI 48420-1307 | 2018-06-18 |
| 1396028486 | William Martin Dudewicz Jr. | Pharmacist | 415 W Vienna St, Clio, MI 48420-1307 | 2011-09-24 |
| 1477627693 | Jeanine Marie Czape | Pharmacist | 415 W Vienna St, Clio, MI 48420-1307 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629544382 | Erika Joyclyn Marie Ahmad | Behavioral Analyst | Nation of Wonders Inclusive Education, 19211 Beech Daly, Redford, MI 48420 | 2018-10-22 |
| 1770990335 | Matthew Kanelos | Physician Assistant | 11307 N Linden Rd, B, Clio, MI 48420 | 2014-07-16 |
| 1184968679 | Amd Urgent Medical Care, Pllc | Clinic/Center | 11307 N. Linden Rd Suite B, Clio, MI 48420 | 2012-11-21 |
| 1790032928 | Stephanie Rasmussen | Speech-Language Pathologist | 509 Hidden Creek Trail, Clio, MI 48420 | 2012-08-07 |
| 1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
| 1699836346 | Stone Creek Manor | Technician | 609 Stone Creek Pass, Clio, MI 48420 | 2006-12-13 |
| 1518061985 | Visiting Nurse Services of Michigan | Durable Medical Equipment & Medical Supplies | 11493 N. Linden Rd, Clio, MI 48420 | 2006-09-07 |
| 1619084712 | Lorraine Byers-miller | Optometrist | 11493 North Linden Rd, Clio, MI 48420 | 2006-08-24 |
| 1093766370 | Donald Christ Lutz | Podiatrist | 4091 W Vienna Rd, Clio, MI 48420 | 2006-05-12 |
| 1740431360 | Lorraine Byers-miller O.d., P.C. | Optometrist | 11493 North Linden Rd, Clio, MI 48420 | 2008-10-01 |
| Find all providers in zip 48420 | ||||
| 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 |
|---|---|---|---|---|
| 1467518498 | Pratts Station LLC | Pharmacy | 1199 Blue Springs St, Clio, AL 36017-0460 | 2006-12-27 |
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|---|---|---|---|---|
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| 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.