DETROIT COMMUNITY HEALTH CONNECTION (NPI# 1679737480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679737480 |
| Entity Type | Organization |
| Organization Name | DETROIT COMMUNITY HEALTH CONNECTION |
| Other Organization Name | DETROIT COMMUNITY HEALTH CONNECTION PHARMACY |
| Practice Address |
7900 Kercheval St Detroit MI 48214-2439 |
| Mailing Address |
7900 Kercheval Street Detroit MI 48214 |
| Practice Telephone | 3139249798 |
| Practice Fax Number | 3139246244 |
| Mailing Telephone | 3139249798 |
| Mailing Fax Number | 3139246244 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | WAYNE W BRADLEY SR. (PRESIDENT & CEO) |
| Authorized Official Telephone | 3133432891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
5301008896 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1679737480 | 05 | |
| PK | 2116456 | 01 |
| Other Name | Type Code |
|---|---|
| Detroit Community Health Connection Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750732830 | Detroit Community Health Connection | Community/Behavioral Health | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 | 2016-06-29 |
| Street Address |
7900 KERCHEVAL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627026 | Knight Drugs East Seven Mile, Inc. | Pharmacy | 7900 Kercheval St, #131, Detroit, MI 48214-2439 | 2005-08-26 |
| 1114373545 | Detroit Community Health Connection Pharmacy | Clinic/Center | 7900 Kercheval St, Detroit, MI 48214-2439 | 2016-05-04 |
| 1669813366 | Frances Adams | Dental Hygienist | 7900 Kercheval St, Detroit, MI 48214-2439 | 2013-07-10 |
| 1932474566 | Kristine L Godbold | Dietitian, Registered | 7900 Kercheval St, Detroit, MI 48214-2439 | 2012-03-15 |
| 1457624652 | Detroit Community Health Connection, Inc. | Clinic/Center | 7900 Kercheval St, Detroit, MI 48214-2439 | 2012-02-17 |
| 1366772717 | Kausar Rahman | Dentist | 7900 Kercheval St, Detroit, MI 48214-2439 | 2010-01-07 |
| 1275796468 | Detroit Community Health Connection, Inc | Clinic/Center | 7900 Kercheval St, Detroit, MI 48214-2439 | 2008-07-08 |
| 1982634119 | Gouri Ramesh | Pediatrics | 7900 Kercheval St, Detroit, MI 48214-2439 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1427167196 | Springwells Clinical Pharmacy Inc. | Pharmacy | 2117 Springwells St, Detroit, MI 48209-1507 | 2006-08-29 |
| 1700377538 | Covenant Community Care, Inc. | Pharmacy | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2018-05-29 |
| 1447433842 | City of Detroit | Pharmacy | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2007-12-10 |
| 1669673745 | A&h Pharmacy Services | Pharmacy | 15000 Gratiot Ave, Suite 140, Detroit, MI 48205-1973 | 2007-05-29 |
| 1275676066 | Trinity Health Michigan | Pharmacy | 5555 Conner St, Suite 2691, Detroit, MI 48213-3448 | 2007-02-14 |
| 1275617599 | Community Health and Social Services Center, Inc. | Pharmacy | 5635 W Fort St, Detroit, MI 48209-3154 | 2006-10-24 |
| 1053351908 | Franklin Medical Pharmacy Inc | Pharmacy | 17950 Woodward Ave, Detroit, MI 48203-2260 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744907 | Us Health Pharmaceuticals | Pharmacy | 23350 Greenfield Rd # 200b, Oak Park, MI 48237-2496 | 2020-06-08 |
| 1386286615 | Campus Drugs LLC | Pharmacy | 1065 N Huron River Dr Ste 600, Ypsilanti, MI 48197-3296 | 2019-10-08 |
| 1457850786 | Village Pharmacy Compounding 2 Inc | Pharmacy | 23077 Greenfield Rd Ste 100, Southfield, MI 48075-3744 | 2018-02-01 |
| 1225122724 | Blue Care Network of Michigan Pharmacy II | Pharmacy | 1401 S. Creyts Rd., Lansing, MI 48917 | 2006-10-02 |
| 1023059920 | Monroe Health Ventures, Inc | Pharmacy | 100 Powell Dr Suite 1, Dundee, MI 48131 | 2006-06-10 |
| 1861441768 | Pmc Pharmacy Inc | Pharmacy | 1241 W Broadway St, Three Rivers, MI 49093-8319 | 2006-05-08 |
| 1023654902 | Drug Store Inc | Pharmacy | 2236 Us Highway 23 S, Alpena, MI 49707-4544 | 2019-11-26 |
| 1033679071 | Quad/med, LLC | Pharmacy | 715 E Main St, Midland, MI 48640 | 2019-03-25 |
| 1619408424 | Peninsula Pharmacy Escanaba LLC | Pharmacy | 2500 7th Ave S, Ste 200, Escanaba, MI 49829-1292 | 2017-03-23 |
| 1467997239 | Little River Band of Ottawa Indians | Pharmacy | 2608 Government Center Dr, Manistee, MI 49660-8302 | 2017-01-03 |
| Find all providers with the same taxonomy | ||||
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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.