PLAZA PHARMACY LLC (NPI# 1285790550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285790550 |
| Entity Type | Organization |
| Organization Name | PLAZA PHARMACY LLC |
| Practice Address |
30711 Utica Rd Roseville MI 48066-1522 |
| Practice Telephone | 5867778955 |
| Practice Fax Number | 5867778970 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MEDHI AL ATRACH (MANAGER) |
| Authorized Official Telephone | 5868832355 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008552 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2369278 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1518304245 | Plaza Pharmacy LLC | Pharmacy | 430 E Avenida De Los Arboles, Suite 103, Thousand Oaks, CA 91360-3003 | 2013-06-04 |
| 1730157819 | Plaza Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1123 Plaza Dr, Grundy, VA 24614-6780 | 2006-03-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Plaza Pharmacy LLC | Us Hwy 460, Po Box 843, Grundy, Virginia 24614 |
| Street Address |
30711 UTICA RD |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740291384 | Plaza Pharmacy | Durable Medical Equipment & Medical Supplies | 30711 Utica Rd, Roseville, MI 48066-1522 | 2006-08-10 |
| 1427478833 | Mi Care Pharmacy LLC | Pharmacy | 30711 Utica Rd, Roseville, MI 48066-1522 | 2014-04-24 |
| 1699902049 | Pharmacy-n-dollar Shop Inc | Durable Medical Equipment & Medical Supplies | 30711 Utica Rd, Roseville, MI 48066-1522 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912494683 | Kacy Cosmetics Inc | Durable Medical Equipment & Medical Supplies | 2100 Snelling Ave N Ste 72, Roseville, MN 55113-6035 | 2018-04-18 |
| 1275046013 | Home Care Delivered, Inc. | Durable Medical Equipment & Medical Supplies | 1915 Highway 36 W Ste 174, Roseville, MN 55113-2709 | 2017-11-15 |
| 1447603998 | Emed Transport | Durable Medical Equipment & Medical Supplies | 448 Talon Reach Ct, Roseville, CA 95747-7107 | 2016-07-20 |
| 1013386986 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 20891 E 13 Mile Rd, Roseville, MI 48066-4530 | 2015-09-21 |
| 1831593342 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1492 Blue Oaks Blvd, Roseville, CA 95747-7143 | 2014-10-13 |
| 1932540846 | Innovations Health Devices LLC | Durable Medical Equipment & Medical Supplies | 1009 Enterprise Way Ste 350, Roseville, CA 95678-3019 | 2013-07-09 |
| 1346513272 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 18325 E 10 Mile Rd Ste 400, Roseville, MI 48066-4990 | 2012-02-23 |
| 1902104722 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1771 Pleasant Grove Blvd, Suite 100, Roseville, CA 95747-8720 | 2011-03-02 |
| 1013239409 | Scooter On, Inc. | Durable Medical Equipment & Medical Supplies | 1740 Fergus Dr, Roseville, CA 95747-5855 | 2010-02-25 |
| 1124354675 | American Medequip, LLC. | Durable Medical Equipment & Medical Supplies | 1009 Enterprise Way Ste 100, Roseville, CA 95678-3018 | 2009-10-18 |
| Find all providers in ROSEVILLE | ||||
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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.