PARK MEDICAL PHARMACY INC (NPI# 1508133968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508133968 |
| Entity Type | Organization |
| Organization Name | PARK MEDICAL PHARMACY INC |
| Other Organization Name | PARK MEDICAL PHARMACY INC. |
| Practice Address |
20720 Plymouth Rd Detroit MI 48228-1275 |
| Practice Telephone | 3132882203 |
| Mailing Telephone | 3132882203 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2014-12-16 |
| Authorized Official Name | MAITHAM ALSHARIFI (PHARMACIST) |
| Authorized Official Telephone | 3136515887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009761 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2376095 | 01 |
| Other Name | Type Code |
|---|---|
| Park Medical Pharmacy Inc. | Doing Business As Name - Organization |
| Street Address |
20720 PLYMOUTH RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48228-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275505695 | Satish R Khanzode | Family Medicine | 20720 Plymouth Rd, Detroit, MI 48228-1275 | 2006-02-02 |
| 1659912525 | Painless Dental Center PC | Dentist | 20720 Plymouth Rd, Detroit, MI 48228-1275 | 2019-10-02 |
| 1629448089 | Park Medical Rx LLC | Pharmacy | 20720 Plymouth Rd, Detroit, MI 48228-1275 | 2015-09-29 |
| 1619351772 | Bhavneet Singh | Dentist | 20720 Plymouth Rd, Detroit, MI 48228 | 2015-07-17 |
| 1437543444 | Drj of Plymouth Pllc | Dentist | 20720 Plymouth Rd, Detroit, MI 48228-1275 | 2015-03-27 |
| 1649693102 | Supreme Dental of Plymouth Road PC | Dentist | 20720 Plymouth Rd, Detroit, MI 48228-1275 | 2014-02-03 |
| 1326381112 | Baum Dental, PC | Dentist | 20720 Plymouth Rd, Detroit, MI 48228-1275 | 2013-04-01 |
| 1073853453 | Womack Dental PC. | Dentist | 20720 Plymouth Rd, Detroit, MI 48228-1275 | 2013-02-22 |
| 1639413933 | Saving Smiles, Inc | Dentist | 20720 Plymouth Rd, Detroit, MI 48228-1275 | 2012-11-27 |
| 1831372556 | Detroit - Plymouth P.c | Dentist | 20720 Plymouth Rd, Detroit, MI 48228-1275 | 2007-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
| 1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
| 1043746548 | Am-pm Transportation Services LLC | Private Vehicle | 18640 Joy Road, Detroit, MI 48228 | 2017-05-04 |
| 1770023491 | Goodcompany Aop Inc | In Home Supportive Care | 8946 Prest St, Detroit, MI 48228 | 2017-02-28 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1790157774 | Shakail Bronta Hill | Adult Companion | 7729 Clayburn, Detroit, MI 48228 | 2015-10-29 |
| 1275904583 | Denarol Cunningham | Contractor | 7248 Vaughan, Detroit, MI 48228 | 2015-10-13 |
| 1023493210 | Larry Foster | Technician, Other | 9334 Memorial, Detroit, MI 48228 | 2015-07-29 |
| 1093126872 | Reza Hafezi | Chiropractor | 17600 W. Warren Ave., Detroit, MI 48228 | 2014-05-14 |
| Find all providers in zip 48228 | ||||
| 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 |
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| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1912523986 | Gratiot Seven Pharmacy, LLC | Pharmacy | 12740 Gratiot Ave Ste 100, Detroit, MI 48205-3944 | 2020-06-24 |
| 1396361366 | Grand Greenfield Pharmacy, LLC | Pharmacy | 14661 Greenfield Rd Ste B, Detroit, MI 48227-2231 | 2020-06-24 |
| 1114556859 | Buena Salud LLC | Pharmacy | 7607 W Vernor Hwy, Detroit, MI 48209-1513 | 2020-04-04 |
| 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.