PAUL ROTARIUS INC (NPI# 1174753289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174753289 |
| Entity Type | Organization |
| Organization Name | PAUL ROTARIUS INC |
| Other Organization Name | GRAND RIVER PHARMACY |
| Practice Address |
19460 Grand River Ave Detroit MI 48223-1200 |
| Practice Telephone | 3135330560 |
| Practice Fax Number | 3135330568 |
| Mailing Telephone | 3135330560 |
| Mailing Fax Number | 3135330568 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | PAUL ROTARIUS (PRESIDENT) |
| Authorized Official Telephone | 3135330560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009114 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2373215 | 01 |
| Other Name | Type Code |
|---|---|
| Grand River Pharmacy | Doing Business As Name - Organization |
| Street Address |
19460 GRAND RIVER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48223-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760453930 | Franco A Attanasio | Internal Medicine | 19460 Grand River Ave, Detroit, MI 48223-1200 | 2006-01-27 |
| 1366838153 | Rojy Philip | Family Medicine | 19460 Grand River Ave, Detroit, MI 48223-1200 | 2015-04-08 |
| 1518213842 | Fatin Antuwan Sahhar | Family Medicine | 19460 Grand River Ave, Detroit, MI 48223-1200 | 2012-07-24 |
| 1538443841 | Preferred Therapy Services, LLC | Physical Therapist | 19460 Grand River Ave, Detroit, MI 48223-1200 | 2011-10-05 |
| 1750688784 | Big D Corp | Pharmacy | 19460 Grand River Ave, Detroit, MI 48223-1200 | 2011-02-28 |
| 1235373135 | Charlton Castillo Lacerna | Family Medicine | 19460 Grand River Ave, Detroit, MI 48223 | 2009-04-23 |
| 1366689671 | Newdimensions Rehab | Clinic/Center | 19460 Grand River Ave, Detroit, MI 48223-1200 | 2009-01-08 |
| 1093986671 | Anatrup Inc. | Pharmacy | 19460 Grand River Ave, Detroit, MI 48223-1200 | 2008-03-21 |
| 1609938414 | Christopher B Schooley Do, PC | Internal Medicine | 19460 Grand River Ave, Detroit, MI 48223-1200 | 2006-12-15 |
| 1164595732 | Kalika Corp. | Pharmacy | 19460 Grand River Ave, Detroit, MI 48223-1200 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| 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] |
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| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1952938516 | Sinai Medical Pharmacy, LLC | Pharmacy | 16841 Schaefer Hwy, Detroit, MI 48235-4271 | 2020-03-24 |
| 1881231991 | Six Mile Medical Pharmacy, LLC | Pharmacy | 10420 W Mcnichols Rd Ste A, Detroit, MI 48221-2356 | 2019-12-08 |
| 1215570791 | Goshen Pharmacy LLC | Pharmacy | 16800 Greenfield Rd Unit B2, Detroit, MI 48235-3703 | 2019-10-28 |
| Find all providers in DETROIT | ||||
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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.