SANTREIS L COOK (NPI# 1669993937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669993937 |
| Entity Type | Individual |
| Full Name | SANTREIS L COOK |
| Credential | PHARMD |
| Practice Address |
25111 Grodan Dr Southfield MI 48033 |
| Mailing Address |
25111 Grodan Dr Southfield MI 48033-2529 |
| Practice Telephone | 2564044598 |
| Mailing Telephone | 2564044598 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19420 | AL | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 214 Haynes St, Talladega, AL 351602560 | 2567611819 |
| Street Address |
25111 GRODAN DR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366996779 | Joycelyn Michelle Dier | Behavioral Analyst | 25111 Grodan Dr, Apt. 236, Southfield, MI 48033-2529 | 2016-08-15 |
| 1497299036 | Donovan Douglas | Technician, Other | 25111 Grodan Dr, Southfield, MI 48033-2529 | 2016-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073363 | Menaka Ravi Chandra Reddy | Pharmacist | 23881 Greenfield Rd, Southfield, MI 48075-3122 | 2020-01-28 |
| 1013548114 | Dina Issa | Pharmacist | 26026 W 12 Mile Rd # Oad, Southfield, MI 48034-1783 | 2020-01-28 |
| 1285127290 | Hitesh P Upadhyay | Pharmacist | 23832 Southfield Rd Ste 2, Southfield, MI 48075-8001 | 2018-06-13 |
| 1558879064 | Mohamed Sohoubah | Pharmacist | 23815 Northwestern Hwy Ste 200, Southfield, MI 48075-7738 | 2018-01-18 |
| 1881061984 | Peter Ponomarev | Pharmacist | 15600 W 10 Mile Rd Unit 1b, Southfield, MI 48075-2148 | 2015-08-25 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1477828457 | Eric Jeffery Lee | Pharmacist | 22277 W 12 Mile Rd, Apt 29, Southfield, MI 48034-4621 | 2012-03-09 |
| 1619240504 | Erwin H Posner | Pharmacist | 28422 Tavistock Trl, Southfield, MI 48034-2019 | 2012-02-22 |
| 1013291970 | Boby Abraham | Pharmacist | 23111 Lahser Road, Walgreens, Southfield, MI 48034 | 2011-10-10 |
| 1053694521 | Donna K Spencer | Pharmacist | 26776 W 12 Mile Rd Ste 108, Southfield, MI 48034-7807 | 2011-09-21 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on SANTREIS L COOK.
| 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.