BRIDGE HEALTHCARE PHARMACY LLC (NPI# 1669901815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669901815 |
| Entity Type | Organization |
| Organization Name | BRIDGE HEALTHCARE PHARMACY LLC |
| Practice Address |
658 E. Main St Suite 1 Centreville MI 49032 |
| Mailing Address |
P.o. Box 22 Nazareth MI 49074 |
| Practice Telephone | 2694673510 |
| Practice Fax Number | 2694673515 |
| Mailing Telephone | 2694673510 |
| Mailing Fax Number | 2694673515 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Authorized Official Name | MR. MICHAEL DABAJA (OWNER/PIC) |
| Authorized Official Telephone | 2694673510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
658 E. MAIN ST SUITE 1 |
| City | CENTREVILLE |
| State | MI |
| Zip Code | 49032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962700054 | Jennifer Rose Fisher | Social Worker | 677 E. Main Street, Centreville, MI 49032 | 2011-03-14 |
| 1437452240 | Carol Ann Naccarato | Registered Nurse | 677 East Main Street, Suite A, Centreville, MI 49032 | 2010-12-16 |
| 1003120510 | Rebecca Nicole Brueck | Registered Nurse | 677 East Main, Suite A, Centreville, MI 49032 | 2010-07-27 |
| 1497081723 | Travis Scott Kohl | Counselor | 677 East Main St, Suite A, Centreville, MI 49032 | 2009-10-21 |
| 1811142946 | Paula Therese Berchiatti | Counselor | 677a E. Main Street, Centreville, MI 49032 | 2008-11-17 |
| 1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
| 1932398815 | Heather Nicole Decastro | Counselor | 377a East Main, Centreville, MI 49032 | 2007-10-17 |
| 1073686432 | Linda Sue Overholt | Counselor | 338 N Fisher Ln, Centreville, MI 49032 | 2006-11-15 |
| 1174600522 | Stacy M Linihan | Social Worker | 658 East Main, Centreville, MI 49032 | 2006-11-01 |
| 1447352091 | Kelly Elizabeth Norris | Social Worker | 677a East Main St, Centerville, MI 49032 | 2006-09-03 |
| Find all providers in zip 49032 | ||||
| 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] |
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| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
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| 1265570428 | J & S Drugs, Inc | Pharmacy | 1130 Walnut St, Centreville, AL 35042-2811 | 2007-02-01 |
| 1508969221 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 155 Birmingham Rd Ste 114, Centreville, AL 35042-2949 | 2006-09-07 |
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| 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 | ||||
| City | CENTREVILLE |
| Zip Code | 49032 |
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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.