GREAT LAKES PHARMACIES I INC


Address: 6213 Chicago Rd Suite 200, Warren, MI 48092
Phone: 5867517979

GREAT LAKES PHARMACIES I INC (NPI# 1093823460) 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) 1093823460
Entity Type Organization
Organization Name GREAT LAKES PHARMACIES I INC
Other Organization Name VILLAGE PHARMACY
Practice Address 6213 Chicago Rd Suite 200
Warren
MI 48092
Mailing Address 6213 Chicago Rd. Suite 200
Warren
MI 48092
Practice Telephone 5867517979
Practice Fax Number 5867510809
Mailing Telephone 5867517979
Mailing Fax Number 5867510809
Enumeration Date 2006-08-27
Last Update Date 2015-01-28
Authorized Official Name MR. ALEXANDER W. SIOMKA (PRESIDENT / OWNER)
Authorized Official Telephone 5867517979
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
5301004106 MI Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
5301004106 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1617121 05
OTHER ID NUMBER 2338499 01

Other Provider/Organization Names

Other Name Type Code
VILLAGE PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619510328 Great Lakes Pharmacies I Inc Pharmacy 6213 Chicago Rd Ste 200, Warren, MI 48092-1697 2019-10-25

Office Location

Street Address 6213 CHICAGO RD SUITE 200
City WARREN
State MI
Zip Code 48092

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881163186 Katherine Byrd Behavior Technician 3691 East 11 Mile Rd., Warren, MI 48092 2018-11-15
1861980302 Mark Paul Azzo Home Health Aide 27605 Walker Ave, Warren, MI 48092 2018-04-30
1144747130 Joseph Galutan Estrada Chiropractor 4846 Marlow Dr, Warren, MI 48092 2017-08-29
1649669425 Lawrence Mosurak IIi Chiropractor 6201 Chicago Road, Warren, MI 48092 2015-01-15
1174911713 Kimberly A Ott Nurse Practitioner 28800 Ryan Rd Suite 320, Warren, MI 48092 2015-01-06
1487071999 Michele Szandzik Chiropractor 2243 East 12 Mile Rd, Warren, MI 48092 2014-03-21
1962827311 Mouradian Dental Center, D.d.s., P.C. Dentist 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 2014-02-21
1639495930 Debra Kay Wenneman Physical Therapist 28776 Ryan Rd, Warren, MI 48092 2010-04-12
1922332923 Sonia Amirali Pethani Physical Therapist 2117 E. Eleven Mile Rd., Warren, MI 48092 2009-09-23
1881822237 Michael Patrick Walsh Orthopaedic Surgery 28800 Ryan Rd Ste 310, Warren, MI 48092 2009-06-24
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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
1679118236 Good N Plenty Rx LLC Pharmacy 22260 Van Dyke Avenue, Warren, MI 48089 2019-11-07
1891337804 Warren Family Pharmacy LLC Pharmacy 29156 Hoover Rd, Warren, MI 48093-3476 2019-10-10
1629532593 Prestige Specialty Pharmacy 3 Pharmacy 31700 Van Dyke Ave Ste C, Warren, MI 48093-7949 2019-01-24
1871019422 Highland Rx Pharmacy 26000 Hoover Rd Ste 107, Warren, MI 48089-1167 2017-08-16
1417472697 Jp Pharmacy Inc. Pharmacy 27301 Schoenherr Rd Ste 106, Warren, MI 48088-6649 2017-08-08
1013431014 Shah Alam Bhuiyan Pharmacy 24831 Ryan Rd, Warren, MI 48091-3390 2017-08-01
1427578483 Elwaseem & Associates LLC Pharmacy 4208 E 9 Mile Rd, Warren, MI 48091-2578 2017-06-21
1952832990 Genoa Healthcare, LLC Pharmacy 103 W Market St Ste P, Warren, OH 44481-1017 2017-03-22
1033667472 Greater Care Pharmacy LLC Pharmacy 24800 Hoover Rd Ste B, Warren, MI 48089-1965 2016-09-14
1871913640 Hoover Drugs LLC Pharmacy 28675 Hoover Rd, Warren, MI 48093-4152 2014-04-21
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Competitor

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City WARREN
Zip Code 48092

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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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