O2 PHARMACY, LLC (NPI# 1114415668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114415668 |
| Entity Type | Organization |
| Organization Name | O2 PHARMACY, LLC |
| Other Organization Name | O2 PHARMACY |
| Practice Address |
39765 Grand River Ave Novi MI 48375 |
| Mailing Address |
39765 Grand River Ave Novi MI 48375-2107 |
| Practice Telephone | 2489872024 |
| Practice Fax Number | 2489876998 |
| Mailing Telephone | 2489872024 |
| Mailing Fax Number | 2489876998 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | CARLOS CHINCHILLA (OWNER) |
| Authorized Official Telephone | 8882243081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301011378 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177506 | 01 |
| Other Name | Type Code |
|---|---|
| o2 Pharmacy | Doing Business As Name - Organization |
| Street Address |
39765 GRAND RIVER AVE |
| City | NOVI |
| State | MI |
| Zip Code | 48375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1043712599 | Derrik M Gianni | Behavior Technician | 41521 W. 11 Mile Rd. Novi, Novi, MI 48375 | 2018-03-01 |
| Find all providers in zip 48375 | ||||
| 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 |
|---|---|---|---|---|
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1639278930 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 42191 W 14 Mile Rd, Novi, MI 48377-1401 | 2006-09-22 |
| 1104938059 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22240 Novi Rd, Novi, MI 48375-4707 | 2006-08-31 |
| 1407968340 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 31250 Beck Rd, Novi, MI 48377-1022 | 2006-08-31 |
| 1457463309 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 47200 W 10 Mile Rd, Novi, MI 48374-2932 | 2006-08-31 |
| 1619439577 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave, Suite 550, Novi, MI 48375 | 2019-04-01 |
| 1023588779 | Sam Pharmacy Rx LLC | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2018-11-26 |
| 1114466182 | Infinite Pharmacy Services, LLC | Pharmacy | 25500 Meadowbrook Rd Ste 160, Novi, MI 48375-1881 | 2017-02-23 |
| 1255655247 | Goldberg Pharmacy Inc | Pharmacy | 39500 W 10 Mile Rd, Suite 111, Novi, MI 48375-2947 | 2010-03-18 |
| 1487738480 | Affiliated Health Services | Pharmacy | 26850 Providence Pkwy, Suite 100, Novi, MI 48374-1213 | 2006-10-25 |
| Find all providers in NOVI | ||||
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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.