BLOOMFIELD RX LLC (NPI# 1164901948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164901948 |
| Entity Type | Organization |
| Organization Name | BLOOMFIELD RX LLC |
| Practice Address |
43750 Woodward Ave Ste 103 Bloomfield Hills MI 48302-5063 |
| Practice Telephone | 3133539257 |
| Practice Fax Number | 4256486367 |
| Mailing Telephone | 3133539257 |
| Mailing Fax Number | 4256486367 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | MR. MAHDI HAIDAR (OWNER) |
| Authorized Official Telephone | 2487066748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301011427 | MI | Suppliers |
| Street Address |
43750 WOODWARD AVE STE 103 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134763444 | Maxwell Dalloo | Pharmacist | 43750 Woodward Ave Ste 103, Bloomfield Hills, MI 48302-5063 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| 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 |
|---|---|---|---|---|
| 1083180715 | Mandy Mastronardi-morris | Pharmacy | 43121 Woodward Ave, Bloomfield Hills, MI 48302-5005 | 2018-10-20 |
| 1831422294 | Cg Inc | Pharmacy | 2550 S Telegraph Rd Ste 107a, Bloomfield Hills, MI 48302-0951 | 2009-09-16 |
| 1528216975 | Woodward Detroit Cvs LLC | Pharmacy | 2400 S Telegraph Rd, Bloomfield Hills, MI 48302-0255 | 2008-08-28 |
| 1215049168 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 4101 Telegraph Rd, Bloomfield Hills, MI 48302-2037 | 2006-08-31 |
| 1245342104 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 42934 Woodward Ave, Bloomfield Hills, MI 48304-5034 | 2006-08-31 |
| 1447368816 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 6510 Telegraph Rd, Bloomfield Hills, MI 48301-3011 | 2006-08-27 |
| 1144269085 | Fox Hills Medi-mart Discount Drug Center, Inc. | Pharmacy | 1539 S Opdyke Rd, Bloomfield Hills, MI 48304-1042 | 2006-06-06 |
| 1497368393 | Donna Saadeh | Pharmacy | 6510 Telegraph Rd, Bloomfield Hills, MI 48301-3011 | 2020-08-28 |
| 1356815351 | Healthline Pharmacy, LLC | Pharmacy | 43700 Woodward Ave, Bloomfield Hills, MI 48302-5058 | 2019-01-14 |
| 1124597190 | H R & M Drugs Inc. | Pharmacy | 43121 Woodward Ave, Bloomfield Hills, MI 48302-5005 | 2018-11-19 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
Please comment or provide details below to improve the information on BLOOMFIELD RX LLC.
| 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.