PHARMERICA DRUG SYSTEMS LLC (NPI# 1376576959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376576959 |
| Entity Type | Organization |
| Organization Name | PHARMERICA DRUG SYSTEMS LLC |
| Other Organization Name | PHARMERICA |
| Practice Address |
4575 44th St Se Suite A Grand Rapids MI 49512-4080 |
| Mailing Address |
3802 Corporex Park Dr Ste 150 Tampa FL 33619-1135 |
| Practice Telephone | 6169546833 |
| Practice Fax Number | 6169543806 |
| Mailing Telephone | 5026277000 |
| Mailing Fax Number | 5026277401 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | STEVEN S. REED (VICE PRESIDENT) |
| Authorized Official Telephone | 5023942100 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHARMERICA CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
5301007793 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2365345 | 05 | |
| MI | 4883936 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2365345 | 01 |
| Other Name | Type Code |
|---|---|
| PHARMERICA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033139944 | Pharmerica Drug Systems LLC | Pharmacy | 9386 Hardy Road, Vinton, VA 24179 | 2006-07-20 |
| 1487687059 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 775 Bell Rd, Sarasota, FL 34240-9509 | 2006-07-08 |
| 1619900297 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 6113 43rd St, Suite D, Lubbock, TX 79407-3747 | 2006-07-08 |
| 1023041696 | Pharmerica Drug Systems LLC | Pharmacy | 1041 Elkton Dr, Suite A, Colorado Springs, CO 80907-3539 | 2006-07-08 |
| 1184657769 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 153 Stewart Rd, Hanover Township, PA 18706-1486 | 2006-07-08 |
| 1396778965 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 873 Ricardo Ct, San Luis Obispo, CA 93401-7174 | 2006-07-08 |
| 1114950789 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 11205 Knott Ave, Suite C, Cypress, CA 90630-5489 | 2006-07-08 |
| 1891728473 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 305 Seaboard Ln, Suite 318, Franklin, TN 37067-8287 | 2006-07-08 |
| 1710910393 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 489 Shoemaker Rd, Suite 106, King of Prussia, PA 19406-4235 | 2006-07-08 |
| 1588697155 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 8930 Activity Rd, Suite K, San Diego, CA 92126-4457 | 2006-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | PharMerica Drug Systems LLC | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | PharMerica Drug Systems LLC | 1901 Campus Pl, Louisville, Kentucky 40299 |
| Street Address |
4575 44TH ST SE SUITE A |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386826 | Sean Gogolin | Pharmacist | 4575 44th St Se, Suite A, Grand Rapids, MI 49512-4080 | 2017-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1225688229 | Guardian Pharmacy of Grand Rapids, LLC | Pharmacy | 2930 29th St Se, Grand Rapids, MI 49512-1723 | 2019-09-12 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1093229361 | Horizon Pharmacy Ltc, LLC | Pharmacy | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2017-11-25 |
| 1083849640 | Pca-corrections LLC | Pharmacy | 4665 44th St Se Ste A1106, Grand Rapids, MI 49512-4052 | 2009-05-26 |
| 1437252475 | Tcpi Acquisition LLC | Pharmacy | 3650 Broadmoor Ave Se, Suite 108, Grand Rapids, MI 49512-3925 | 2006-09-06 |
| 1356981922 | Home Town Pharmacy Inc | Pharmacy | 4252 Kalamazoo Ave Se, Grand Rapids, MI 49508-3607 | 2020-01-13 |
| 1093819229 | State of Michigan | Pharmacy | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772159 | Krx Medication Consultants | Pharmacy | 8266 Fernwood St, Augusta, MI 49012 | 2020-05-28 |
| 1235751306 | Ypsilanti Family Pharmacy, Inc. | Pharmacy | 2287 Ellsworth Rd Ste A, Ypsilanti, MI 48197-4805 | 2020-05-12 |
| 1366082935 | Home Town Pharmacy Inc | Pharmacy | 1114 W South Airport Rd, Traverse City, MI 49686-4739 | 2020-01-13 |
| 1619510328 | Great Lakes Pharmacies I Inc | Pharmacy | 6213 Chicago Rd Ste 200, Warren, MI 48092-1697 | 2019-10-25 |
| 1710520143 | H & L Drugs Inc | Pharmacy | 1455 S Lapeer Rd Ste 101, Lake Orion, MI 48360-1468 | 2019-10-17 |
| 1457905259 | Senior Care Rx LLC | Pharmacy | 24293 Telegraph Rd Ste 130, Southfield, MI 48033-7924 | 2019-07-30 |
| 1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
| 1457812117 | Pharmtek LLC | Pharmacy | 3307 Orchard Lake Rd, Keego Harbor, MI 48320-1308 | 2019-03-26 |
| 1801350772 | Prestige Specialty Pharmacy 2 | Pharmacy | 31700 Van Dyke Ave Ste B, Warren, MI 48093-7949 | 2019-01-24 |
| 1194296707 | Palmer Ltc Pharmacy LLC | Pharmacy | 4020 Venoy Rd Ste 900b, Wayne, MI 48184-4818 | 2018-12-07 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
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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.