MYKAL DISCOUNT PHARMACY (NPI# 1780992750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780992750 |
Entity Type | Organization |
Organization Name | MYKAL DISCOUNT PHARMACY |
Other Organization Name | N/A |
Practice Address |
1101 E Walton Blvd Pontiac MI 48340-1591 |
Practice Telephone | 6785082178 |
Practice Fax Number | 3138647607 |
Mailing Telephone | 6785082178 |
Mailing Fax Number | 3138647607 |
Enumeration Date | 2010-09-23 |
Last Update Date | 2010-09-23 |
Authorized Official Name | DR. MICHAEL O MADU (PHARMACIST) |
Authorized Official Telephone | 6785082178 |
Authorized Official Credential | MASTERS |
Is Organization Subpart | Y |
Parent Organization Name | MYKAL DISCOUNT PHARMACY LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009423 | MI | Suppliers |
Other Name | Type Code |
---|---|
n/a | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043549223 | Mykal Discount Pharmacy | Pharmacy | 16215 Livernois Ave, Detroit, MI 48221-3034 | 2009-12-16 |
Street Address |
1101 E WALTON BLVD |
City | PONTIAC |
State | MI |
Zip Code | 48340-1591 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1740555739 | Carnival Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 E Walton Blvd, #202, Pontiac, MI 48340-1591 | 2012-03-09 |
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 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 |
---|---|---|---|---|
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 |
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 |
1952456329 | Thweni Mansour & Samera Inc | Pharmacy | 140 N Saginaw St, Pontiac, MI 48342-2112 | 2007-01-24 |
Find all providers in PONTIAC |
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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.