E DAVIDSON RX LLC (NPI# 1366954067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366954067 |
| Entity Type | Organization |
| Organization Name | E DAVIDSON RX LLC |
| Other Organization Name | KNIGHT DRUGS - E DAVIDSON |
| Practice Address |
4420 E Davison St Detroit MI 48212-1744 |
| Mailing Address |
6689 Orchard Lake Rd Ste 168 West Bloomfield MI 48322-3404 |
| Practice Telephone | 3133346711 |
| Practice Fax Number | 3133346710 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |
| Authorized Official Name | RAAD KOUZA (MEMBER) |
| Authorized Official Telephone | 2488626148 |
| Is Organization Subpart | Y |
| Parent Organization Name | E DAVIDSON MANAGEMENT INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010812 | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| Knight Drugs - E Davidson | Doing Business As Name - Organization |
| Street Address |
4420 E DAVISON ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48212-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172529 | Knight Prescriptions, Ltd | Pharmacy | 4420 E Davison St, Detroit, MI 48212-1744 | 2005-08-26 |
| 1659808053 | George Dominic Mammo | Family Medicine | 4420 E Davison St, Detroit, MI 48212-1744 | 2017-05-16 |
| 1982881025 | Great Lakes Family Medical Center Pllc | Clinic/Center | 4420 E Davison St, Detroit, MI 48212-1744 | 2008-01-30 |
| 1598737769 | Great Lakes Family Medical Center Pllc | Family Medicine | 4420 E Davison St, Detroit, MI 48212-1744 | 2006-02-02 |
| 1770554164 | Arunima Shrivastava | Family Medicine | 4420 E Davison St, Detroit, MI 48212-1744 | 2006-02-01 |
| 1316918899 | Amitabh Paharia | Family Medicine | 4420 E Davison St, Detroit, MI 48212-1744 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
| 1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
| 1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
| 1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
| 1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
| Find all providers in zip 48212 | ||||
| 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.