PRESTIGE SPECIALTY PHARMACY LLC (NPI# 1306340955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306340955 |
| Entity Type | Organization |
| Organization Name | PRESTIGE SPECIALTY PHARMACY LLC |
| Practice Address |
3739 15 Mile Rd Sterling Heights MI 48310 |
| Practice Telephone | 8777427621 |
| Practice Fax Number | 5868839388 |
| Mailing Telephone | 8777427621 |
| Mailing Fax Number | 5868839388 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | AMRO SHARAFELDIN (CEO) |
| Authorized Official Telephone | 8777427621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
MI | Suppliers | |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3739 15 Miles Rd, Sterling Heights, MI 48310 | 8777427621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588142970 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-07-30 |
| 1548750714 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-05-14 |
| Street Address |
3739 15 MILE RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588142970 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-07-30 |
| 1548750714 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-05-14 |
| 1679070320 | Iman Gomaa | Pharmacist | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| 1710414685 | Valerie Ann Grobbel | Nurse Practitioner | 2311 15 Mile Rd Suite A, Sterling Heights, MI 48310 | 2017-05-22 |
| Find all providers in zip 48310 | ||||
| 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 |
|---|---|---|---|---|
| 1992357479 | Metro Rx | Pharmacy | 3053 Metropolitan Pkwy Suite 107, Sterling Heights, MI 43310 | 2019-07-15 |
| 1568948891 | Crittenton Rx LLC | Pharmacy | 42370 Van Dyke Ave Ste 105, Sterling Heights, MI 48314-3487 | 2018-07-19 |
| 1114413085 | Quality Care Pharmacy LLC | Pharmacy | 33740 Schoenherr Rd, Sterling Heights, MI 48312-6404 | 2018-07-03 |
| 1578050035 | Metro Rx LLC | Pharmacy | 3058 Metropolitan Pkwy Ste 107, Sterling Heights, MI 48310-3600 | 2018-04-19 |
| 1689064735 | Pharm E-z, Inc. | Pharmacy | 35814 Dequindre Rd, Sterling Heights, MI 48310-4290 | 2015-01-28 |
| 1447680350 | American Discount Pharmacy | Pharmacy | 2767 E 14 Mile Rd, Sterling Heights, MI 48310-5962 | 2013-11-14 |
| 1114354164 | Pharmacarxe of Sterling Heights LLC | Pharmacy | 4135 15 Mile Rd, Sterling Heights, MI 48310-5400 | 2013-10-07 |
| 1891894192 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 43611 Schoenherr Rd, Sterling Heights, MI 48313-1114 | 2006-09-22 |
| 1609978998 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 4025 18 Mile Rd, Sterling Heights, MI 48314-3901 | 2006-09-05 |
| 1851403786 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 3678 15 Mile Rd, Sterling Heights, MI 48310-5355 | 2006-08-31 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
Please comment or provide details below to improve the information on PRESTIGE SPECIALTY PHARMACY 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.