GREAT LAKES PHARMACIES I INC


Address: 6213 Chicago Rd Ste 200, Warren, MI 48092-1697
Phone: 5867517979

GREAT LAKES PHARMACIES I INC (NPI# 1619510328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619510328
Entity Type Organization
Organization Name GREAT LAKES PHARMACIES I INC
Practice Address 6213 Chicago Rd Ste 200
Warren
MI 48092-1697
Practice Telephone 5867517979
Practice Fax Number 5867510809
Mailing Telephone 5867517979
Mailing Fax Number 5867510809
Enumeration Date 2019-10-25
Last Update Date 2019-10-25
Authorized Official Name VINCENT A SALAMONE (LTC MANAGER)
Authorized Official Telephone 5867517979
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Village Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093823460 Great Lakes Pharmacies I Inc Pharmacy 6213 Chicago Rd Suite 200, Warren, MI 48092 2006-08-27

Office Location

Street Address 6213 CHICAGO RD STE 200
City WARREN
State MI
Zip Code 48092-1697

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881163186 Katherine Byrd Behavior Technician 3691 East 11 Mile Rd., Warren, MI 48092 2018-11-15
1861980302 Mark Paul Azzo Home Health Aide 27605 Walker Ave, Warren, MI 48092 2018-04-30
1144747130 Joseph Galutan Estrada Chiropractor 4846 Marlow Dr, Warren, MI 48092 2017-08-29
1649669425 Lawrence Mosurak IIi Chiropractor 6201 Chicago Road, Warren, MI 48092 2015-01-15
1174911713 Kimberly A Ott Nurse Practitioner 28800 Ryan Rd Suite 320, Warren, MI 48092 2015-01-06
1487071999 Michele Szandzik Chiropractor 2243 East 12 Mile Rd, Warren, MI 48092 2014-03-21
1962827311 Mouradian Dental Center, D.d.s., P.C. Dentist 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 2014-02-21
1639495930 Debra Kay Wenneman Physical Therapist 28776 Ryan Rd, Warren, MI 48092 2010-04-12
1922332923 Sonia Amirali Pethani Physical Therapist 2117 E. Eleven Mile Rd., Warren, MI 48092 2009-09-23
1881822237 Michael Patrick Walsh Orthopaedic Surgery 28800 Ryan Rd Ste 310, Warren, MI 48092 2009-06-24
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801350772 Prestige Specialty Pharmacy 2 Pharmacy 31700 Van Dyke Ave Ste B, Warren, MI 48093-7949 2019-01-24
1124102264 Walgreen Co Pharmacy 310 S Martin St, Warren, AR 71671-2818 2006-10-25
1093823460 Great Lakes Pharmacies I Inc Pharmacy 6213 Chicago Rd Suite 200, Warren, MI 48092 2006-08-27
1699035899 Genoa Healthcare, LLC Pharmacy 1977 Niles Rd Se, Warren, OH 44484-5118 2012-05-22

Providers in the same taxonomy and state

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
1710520143 H & L Drugs Inc Pharmacy 1455 S Lapeer Rd Ste 101, Lake Orion, MI 48360-1468 2019-10-17
1225688229 Guardian Pharmacy of Grand Rapids, LLC Pharmacy 2930 29th St Se, Grand Rapids, MI 49512-1723 2019-09-12
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
1194296707 Palmer Ltc Pharmacy LLC Pharmacy 4020 Venoy Rd Ste 900b, Wayne, MI 48184-4818 2018-12-07
1083184063 Central Pharmacy - East Lansing LLC Pharmacy 3340 E Lake Lansing Rd, East Lansing, MI 48823-6224 2018-12-03
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Competitor

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City WARREN
Zip Code 48092

Improve Information

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Dataset Information

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.

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