INTEGRATED DRUG MANAGEMENT (NPI# 1316220155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316220155 |
| Entity Type | Organization |
| Organization Name | INTEGRATED DRUG MANAGEMENT |
| Other Organization Name | IDM PHARMACY |
| Practice Address |
26541 Plymouth Rd Redford MI 48239-2214 |
| Practice Telephone | 3135433414 |
| Practice Fax Number | 3135433416 |
| Mailing Telephone | 3135433414 |
| Mailing Fax Number | 3135433414 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | FAUSTINA IROHA (CEO) |
| Authorized Official Telephone | 2489431123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5315052908 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2132642 | 01 | |
| MI | 1316220155 | 05 |
| Other Name | Type Code |
|---|---|
| IDM PHARMACY | Doing Business As Name - Organization |
| Street Address |
26541 PLYMOUTH RD |
| City | REDFORD |
| State | MI |
| Zip Code | 48239-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849856 | Court'nee Ann Desmond | Nurse Practitioner | 14761 Telegraph Rd, Redford, MI 48239 | 2019-12-26 |
| 1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
| 1003343369 | Lucinda Pryor | Nurse Practitioner | 14210 Marion, Redford, MI 48239 | 2017-05-17 |
| 1740725274 | Georgetta W Bond | Technician, Other | 12770 Hemingway, Redford, MI 48239 | 2016-12-19 |
| 1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
| 1609282110 | Rosaundra Tanika Pope | Home Health | 9989 Royal Grand, Redford, MI 48239 | 2014-07-03 |
| 1497170179 | Courtney Ritchie | General Practice | 24435 Plymouth Rd, Redford, MI 48239 | 2014-03-04 |
| 1003168592 | Alicia Monique Lurry | Counselor | 8171 Parkland, Detroit, MI 48239 | 2012-10-08 |
| 1407116080 | Ariss Tiffani Pierce | Physical Therapist | 14615 Telegraph Rd Ste 1, Redford, MI 48239 | 2012-05-17 |
| 1205144409 | Steven Thomas Haynes | Counselor | 7411 Parkland, Redford, MI 48239 | 2010-09-22 |
| Find all providers in zip 48239 | ||||
| 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 |
|---|---|---|---|---|
| 1811544661 | Premier Cure LLC | Pharmacy | 26611 W 7 Mile Rd Ste A, Redford, MI 48240-2063 | 2019-08-26 |
| 1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
| 1184138299 | Master Pharmacy LLC | Pharmacy | 25735 W 8 Mile Rd, Redford, MI 48240-1008 | 2017-11-28 |
| 1073907655 | Ofp Inc | Pharmacy | 24224 Joy Rd Ste 103, Redford, MI 48239-1215 | 2015-03-23 |
| 1265848162 | Genoa Healthcare, LLC | Pharmacy | 9327 Telegraph Rd, Redford, MI 48239-1260 | 2014-07-11 |
| 1497912257 | Lincoln Pharmacy | Pharmacy | 9331 Telegraph Rd, Redford, MI 48239-1260 | 2008-05-20 |
| 1184750713 | Crown Specialty Pharmacy LLC | Pharmacy | 24401 Plymouth Rd, Redford, MI 48239-1616 | 2007-02-26 |
| 1700988086 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 25380 5 Mile Rd, Redford, MI 48239-3740 | 2006-09-05 |
| 1619089562 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 25700 W 7 Mile Rd, Redford, MI 48240-1769 | 2006-08-31 |
| 1598877425 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 27350 Plymouth Rd, Redford, MI 48239-2348 | 2006-08-31 |
| Find all providers in REDFORD | ||||
Please comment or provide details below to improve the information on INTEGRATED DRUG MANAGEMENT.
| 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.