PONTIAC GENERAL HOSPITAL PHARMACY INC. (NPI# 1568954014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568954014 |
| Entity Type | Organization |
| Organization Name | PONTIAC GENERAL HOSPITAL PHARMACY INC. |
| Practice Address |
461 W Huron St Ste 111 Pontiac MI 48341-1601 |
| Practice Telephone | 2488590020 |
| Practice Fax Number | 2488590025 |
| Mailing Telephone | 2488590020 |
| Mailing Fax Number | 2488590025 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | MANSOOR KHAN (PHARMACIST-IN-CHARGE/OWNER) |
| Authorized Official Telephone | 5865964198 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | 5301011400 | MI | Agencies |
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
5301011400 | MI | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
5301011400 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301011400 | MI | Suppliers |
| Street Address |
461 W HURON ST STE 111 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| 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 |
|---|---|---|---|---|
| 1851869275 | Best Family Pharmacy LLC | Pharmacy | 693 Baldwin Ave, Pontiac, MI 48342-1318 | 2018-11-03 |
| 1083019079 | Neau Era Pharmacy | Pharmacy | 506 N Telegraph Rd, Pontiac, MI 48341 | 2014-11-03 |
| 1033545074 | Advicare Pharmacy, Inc. | Pharmacy | 1531 Highwood E, Pontiac, MI 48340-1234 | 2013-09-23 |
| 1295029312 | Srisiri Pharma Inc | Pharmacy | 989 University Dr Ste 107, Pontiac, MI 48342-1885 | 2011-06-06 |
| 1134423957 | Auburn Discount Pharmacy | Pharmacy | 263 Auburn Ave, Pontiac, MI 48342-3012 | 2011-01-09 |
| 1871897660 | Omote Rx Inc | Pharmacy | 1430 Joslyn Ave, Pontiac, MI 48340-2065 | 2011-01-07 |
| 1780992750 | Mykal Discount Pharmacy | Pharmacy | 1101 E Walton Blvd, Pontiac, MI 48340-1591 | 2010-09-23 |
| 1831201771 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 66 E Walton Blvd, Pontiac, MI 48340-1277 | 2006-08-31 |
| 1679893887 | Sav-plus Pharmacy | Pharmacy | 775 Baldwin Ave, Pontiac, MI 48340-2576 | 2010-06-10 |
| 1427234863 | Bloomfield Pharmacy North PC | Pharmacy | 44200 Woodward Ave, Ste 107, Pontiac, MI 48341-5045 | 2008-01-16 |
| Find all providers in PONTIAC | ||||
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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.