DIVERSIFIED PHARMACY INC (NPI# 1982712352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982712352 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED PHARMACY INC |
| Other Organization Name | RX UNIVERSITY COMPOUNDING PHARMACY |
| Practice Address |
6054 Livernois Rd Troy MI 48098-1502 |
| Practice Telephone | 2482675002 |
| Practice Fax Number | 2482675003 |
| Mailing Telephone | 2482675002 |
| Mailing Fax Number | 2482675003 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | DR. BRADLEY MCCLOSKEY (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 2482675002 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301007150 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 2360701 | 01 | |
| MI | NABP # | 2360701 | 01 |
| MI | 2360701 | 05 |
| Other Name | Type Code |
|---|---|
| Rx University Compounding Pharmacy | Doing Business As Name - Organization |
| Street Address |
6054 LIVERNOIS RD |
| City | TROY |
| State | MI |
| Zip Code | 48098-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085472 | Chad Whitefield | Pharmacist | 6054 Livernois Rd, Troy, MI 48098-1502 | 2020-02-18 |
| 1356490494 | Bradley Mccloskey | Pharmacist | 6054 Livernois Rd, Troy, MI 48098-1502 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
| 1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
| 1689160053 | Nyssa J Swanson | Physical Therapist | 5440 Corporate Dr Ste 400, Troy, MI 48098 | 2018-07-09 |
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1356863278 | Brigette Johnson | Occupational Therapist | 4794 Riverchase Dr, Troy, MI 48098 | 2017-07-12 |
| 1912448382 | Devyn Depeter | Technician/Technologist | 5877 Livernois Rd Ste 104, Troy, MI 48098 | 2017-03-17 |
| 1285025015 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 4600 Investment Dr Ste 120, Troy, MI 48098 | 2015-02-16 |
| 1649690231 | Tammy Beesley-schick | Registered Nurse | 4568 Odette Ct, Troy, MI 48098 | 2014-04-22 |
| 1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
| 1881953644 | Diane Marie Bald | Social Worker | 1707 White Birch Ct, Troy, MI 48098 | 2012-05-14 |
| Find all providers in zip 48098 | ||||
| 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 |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1114423365 | Apotheco Pharmacy Troy LLC | Pharmacy | 2924 W Maple Rd, Troy, MI 48084-7031 | 2018-04-04 |
| 1942729561 | Mohalk Inc | Pharmacy | 471 Fulton St, Troy, NY 12180-3507 | 2017-09-14 |
| 1629591060 | Walgreen Co | Pharmacy | 115 Southland Vlg # C, Troy, AL 36079 | 2017-07-18 |
| 1881052611 | Accela Inc | Pharmacy | 1179 Maplelawn Dr Ste A, Troy, MI 48084-5515 | 2016-02-08 |
| 1922322007 | Ahak Co | Pharmacy | 1639 E Big Beaver Rd Ste 101, Troy, MI 48083-2053 | 2010-03-18 |
| 1780788448 | Cvs Albany LLC | Pharmacy | 461 2nd Ave, Troy, NY 12182-2933 | 2006-09-12 |
| Find all providers in TROY | ||||
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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.