GRAND HAVEN PHARMACY LLC (NPI# 1639720667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639720667 |
| Entity Type | Organization |
| Organization Name | GRAND HAVEN PHARMACY LLC |
| Other Organization Name | GRAND HAVEN PHARMACY |
| Practice Address |
930 John R Rd Ste Pharmacy Troy MI 48083-4316 |
| Practice Telephone | 2489652181 |
| Practice Fax Number | 2489652196 |
| Mailing Telephone | 2489652181 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-03-19 |
| Authorized Official Name | ZEESHAN TOOR (AO) |
| Authorized Official Telephone | 2489652181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Grand Haven Pharmacy | Doing Business As Name - Organization |
| Street Address |
930 JOHN R RD STE PHARMACY |
| City | TROY |
| State | MI |
| Zip Code | 48083-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| 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 |
|---|---|---|---|---|
| 1427516608 | Option Care Infusion Suites, LLC. | Pharmacy | 1500 W Big Beaver Rd Ste 100, Troy, MI 48084-3522 | 2019-03-07 |
| 1013394378 | Onecare Ltc | Pharmacy | 1945 Heide Dr Ste A, Troy, MI 48084-5313 | 2015-05-06 |
| 1144612466 | Troy City Pharmacy Inc | Pharmacy | 1903 E Wattles Rd, Troy, MI 48085-5083 | 2015-02-24 |
| 1801135777 | Henr Y Ford Health System | Pharmacy | 1414 E Maple Rd Ste 103, Troy, MI 48083-9935 | 2013-02-12 |
| 1346305760 | Shirley Dobbins | Pharmacy | 404 E Harper St, Troy, TN 38260-5946 | 2006-12-26 |
| 1518030030 | Kroger Limited Partnership I | Pharmacy | 1 Troy Sq, Troy, MO 63379-3101 | 2006-11-15 |
| 1992898332 | Prescriptions Plus Pharmacy of Troy Inc | Pharmacy | 523 Troy Plz, Troy, IL 62294-1349 | 2006-09-30 |
| 1902906001 | Clarks Rx LLC | Pharmacy | 414 W Main St, Troy, OH 45373-3244 | 2006-09-25 |
| 1962505693 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1329 S Brundidge St, Troy, AL 36081-3126 | 2006-09-07 |
| 1033121462 | Golub Corporation | Pharmacy | 716 Hoosick Rd, Troy, NY 12180-8850 | 2006-08-13 |
| Find all providers in TROY | ||||
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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.