MEDCART SPECIALTY CARE LLC (NPI# 1225343221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225343221 |
| Entity Type | Organization |
| Organization Name | MEDCART SPECIALTY CARE LLC |
| Other Organization Name | MEDCART SPECIALTY PHARMACY |
| Practice Address |
32131 Industrial Rd Livonia MI 48150-1836 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 7347626600 |
| Practice Fax Number | 7347626601 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER) |
| Authorized Official Telephone | 2083953954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009397 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2168913 | 01 |
| Other Name | Type Code |
|---|---|
| MEDCART SPECIALTY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861917858 | Medcart Specialty Care LLC | Pharmacy | 250 E Parkcenter Blvd, Boise, ID 83706-3940 | 2017-08-10 |
| 1023126026 | Medcart Specialty Care LLC | Durable Medical Equipment & Medical Supplies | 1964 W 11 Mile Rd, Suite C, Berkley, MI 48072-3046 | 2006-08-29 |
| Street Address |
32131 INDUSTRIAL RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426034 | Yahia Abdo Omar | Pharmacist | 32131 Industrial Rd, Livonia, MI 48150-1836 | 2020-04-18 |
| 1811269046 | Medcart Ltc Inc | Pharmacy | 32131 Industrial Rd, Livonia, MI 48150-1836 | 2012-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| 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 |
|---|---|---|---|---|
| 1861028326 | J Walker Enterprises | Pharmacy | 3066 Hwy 78, Livonia, LA 70755 | 2020-03-17 |
| 1437609351 | Blooms Pharmacy LLC | Pharmacy | 16347 Middlebelt Rd, Livonia, MI 48154-3360 | 2016-10-04 |
| 1326420357 | Livonia Family Pharmacy LLC | Pharmacy | 15983 Middlebelt Rd, Livonia, MI 48154-3311 | 2015-06-25 |
| 1417368267 | Livonia Pharmacy LLC | Pharmacy | 17888 Farmington Rd, Livonia, MI 48152-3104 | 2014-05-14 |
| 1518392281 | El Noor LLC | Pharmacy | 20292 Middlebelt Rd, Suite B, Livonia, MI 48152-2002 | 2013-09-12 |
| 1417285404 | Farmington Drugs & Medical Supplies LLC | Pharmacy | 20434 Farmington Rd, Livonia, MI 48152-1416 | 2009-12-02 |
| 1952463663 | Livonia Drugs Inc. | Pharmacy | 33525 5 Mile Rd, Livonia, MI 48154-2861 | 2006-12-16 |
| 1497857734 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 37340 Five Mile Rd, Livonia, MI 48154-1900 | 2006-09-05 |
| 1679685507 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 29500 5 Mile Rd, Livonia, MI 48154-3710 | 2006-08-31 |
| 1891807756 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 8811 Newburgh Rd, Livonia, MI 48150-3424 | 2006-08-31 |
| Find all providers in LIVONIA | ||||
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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.