LAKEVIEW SPECIALTY PHARMACY INC (NPI# 1497078364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497078364 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW SPECIALTY PHARMACY INC |
| Other Organization Name | LAKEVIEW SPECIALTY PHARMACY INC |
| Practice Address |
21400 E 11 Mile Rd Saint Clair Shores MI 48081-1502 |
| Practice Telephone | 5867774100 |
| Mailing Telephone | 5867774100 |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-04-29 |
| Authorized Official Name | ROBERT HARB (VP) |
| Authorized Official Telephone | 2484546500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 5301009304 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2373708 | 01 |
| Other Name | Type Code |
|---|---|
| Lakeview Specialty Pharmacy Inc | Doing Business As Name - Organization |
| Street Address |
21400 E 11 MILE RD |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063034296 | Denise Thi Nguyen | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2020-05-11 |
| 1437770849 | Lindsay Marie Smith | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2020-04-27 |
| 1659990059 | Mark Peter Mastromonaco | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2020-04-15 |
| 1871155622 | Eman Bazzi | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2019-07-02 |
| 1902467061 | Devan Dykstra | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2019-06-27 |
| 1104351402 | Dylan Ryan Rogers | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2017-04-24 |
| 1073961884 | Sarah Gammouh | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2016-06-02 |
| 1275952764 | Robert James Mcclowry | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2014-04-10 |
| 1700220654 | Shruti Ramakrishna | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2013-04-22 |
| 1013279371 | Nikola Cengelova Conrad | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104397843 | Healthcenter Pharmacy, LLC | Pharmacy | 21600 Harper Ave Ste 300, Saint Clair Shores, MI 48080-2242 | 2018-12-06 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1558781666 | Shores Specialty Pharmacy LLC | Pharmacy | 29306 Harper Ave, Saint Clair Shores, MI 48081-2712 | 2014-04-16 |
| 1013932672 | Bormans Inc | Pharmacy | 22332 E 9 Mile Rd, Saint Clair Shores, MI 48080-1972 | 2006-07-13 |
| 1972824126 | St Clair Pharmacy LLC | Pharmacy | 28001 Harper Ave, Saint Clair Shores, MI 48081-1561 | 2010-06-22 |
| 1265526669 | Henry Ford Health System | Pharmacy | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 | 2006-10-03 |
| 1710918792 | Kmart Operations LLC | Pharmacy | 22801 Harper Ave, Saint Clair Shores, MI 48080-1848 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961763 | Dustyn Daniel Thoney | Pharmacy | 530 Harding Ave, Iron River, MI 49935-2265 | 2020-10-27 |
| 1497355697 | Katherine Jane Cybulski | Pharmacy | 1310 Waukazoo St, Hastings, MI 49058-9559 | 2020-10-27 |
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1770104192 | Hazelwood Pharmacy LLC | Pharmacy | 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 | 2020-04-27 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
| 1457996662 | Sunrise Pharmacy, LLC | Pharmacy | 989 University Dr Ste 104, Pontiac, MI 48342-1885 | 2019-11-12 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on LAKEVIEW SPECIALTY PHARMACY INC.
| 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.