CARNIVAL PHARMACY LLC


Address: 1101 E Walton Blvd, #202, Pontiac, MI 48340-1591
Phone: 2484752200

CARNIVAL PHARMACY LLC (NPI# 1740555739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740555739
Entity Type Organization
Organization Name CARNIVAL PHARMACY LLC
Other Organization Name CARNIVAL PHARMACY LLC
Practice Address 1101 E Walton Blvd
#202
Pontiac
MI 48340-1591
Practice Telephone 2484752200
Mailing Telephone 2484752200
Enumeration Date 2012-03-09
Last Update Date 2012-04-16
Authorized Official Name SRINIVASULU PATHURI (PHARMACY MANAGER)
Authorized Official Telephone 2484752200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
N 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers
N 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
5301009764 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 2376451 01

Other Provider/Organization Names

Other Name Type Code
CARNIVAL PHARMACY LLC Doing Business As Name - Organization

Office Location

Street Address 1101 E WALTON BLVD
#202
City PONTIAC
State MI
Zip Code 48340-1591

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780992750 Mykal Discount Pharmacy Pharmacy 1101 E Walton Blvd, Pontiac, MI 48340-1591 2010-09-23
1164972303 D2 Dental of Michigan, P.C. Dentist 1101 E Walton Blvd, Suite 300, Pontiac, MI 48340-1591 2016-10-12
1902210503 Kulbir Jassal Dentist 1101 E Walton Blvd, Pontiac, MI 48340-1591 2014-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851882799 Maryan Luay Alkhoory Dentist 1620 N Perry St # 1, Pontiac, MI 48340 2018-05-26
1669907689 Jeffrey D Bryant Social Worker 1841 N. Perry St, Pontiac, MI 48340 2017-04-27
1750822748 Star Dental P.C. Dentist 775 Baldwin Rd, Suite C, Pontiac, MI 48340 2017-03-10
1609237965 Stephanie Stephan Dentist 1590 Baldwin Ave, Auburn Hills, MI 48340 2016-03-15
1376908921 Jump Start LLC Maternal Infant Health Program Exclusive Provider Organization 1086 Williamson Cir, Pontiac, MI 48340 2015-12-28
1417339532 Ana Rodriguez Point of Service 612 Peacock Ave, Pontiac, MI 48340 2015-06-25
1104223544 Tammy Fletcher Registered Nurse 1841 N Perry, Pontiac, MI 48340 2014-12-01
1558629238 Oakland Integrated Healthcare Network Clinic/Center 816 Joslyn, Pontiac, MI 48340 2012-05-01
1447583398 Dial A Doc Physicians PC Pain Medicine 28 N Saginaw, Chase Building, Pontiac, MI 48340 2009-09-10
1619199171 Jann E. Trzeciak Family Medicine 1915 N Perrt Street, Pontiac, MI 48340 2007-05-03
Find all providers in zip 48340

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851869275 Best Family Pharmacy LLC Pharmacy 693 Baldwin Ave, Pontiac, MI 48342-1318 2018-11-03
1083019079 Neau Era Pharmacy Pharmacy 506 N Telegraph Rd, Pontiac, MI 48341 2014-11-03
1033545074 Advicare Pharmacy, Inc. Pharmacy 1531 Highwood E, Pontiac, MI 48340-1234 2013-09-23
1295029312 Srisiri Pharma Inc Pharmacy 989 University Dr Ste 107, Pontiac, MI 48342-1885 2011-06-06
1134423957 Auburn Discount Pharmacy Pharmacy 263 Auburn Ave, Pontiac, MI 48342-3012 2011-01-09
1871897660 Omote Rx Inc Pharmacy 1430 Joslyn Ave, Pontiac, MI 48340-2065 2011-01-07
1780992750 Mykal Discount Pharmacy Pharmacy 1101 E Walton Blvd, Pontiac, MI 48340-1591 2010-09-23
1831201771 Woodward Detroit Cvs, L.L.C. Pharmacy 66 E Walton Blvd, Pontiac, MI 48340-1277 2006-08-31
1679893887 Sav-plus Pharmacy Pharmacy 775 Baldwin Ave, Pontiac, MI 48340-2576 2010-06-10
1427234863 Bloomfield Pharmacy North PC Pharmacy 44200 Woodward Ave, Ste 107, Pontiac, MI 48341-5045 2008-01-16
Find all providers in PONTIAC

Competitor

Search similar providers

City PONTIAC
Zip Code 48340

Improve Information

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Dataset Information

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.

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