PHYSICIANS COMPOUNDING PHARMACY (NPI# 1780929653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780929653 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS COMPOUNDING PHARMACY |
| Practice Address |
1900 S Telegraph Rd Ste 102 Bloomfield Hills MI 48302-0238 |
| Practice Telephone | 2487589100 |
| Practice Fax Number | 2487581831 |
| Mailing Telephone | 2487589100 |
| Mailing Fax Number | 2487581831 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |
| Authorized Official Name | KAREN GRISE RAEHTZ (OWNER) |
| Authorized Official Telephone | 2487589100 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| Street Address |
1900 S TELEGRAPH RD STE 102 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-0238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023189487 | Jacqueline Marie Chirco | Family Medicine | 1900 S Telegraph Rd Ste 102, Bloomfield Hills, MI 48302-0238 | 2006-11-09 |
| 1063732980 | Karen Raehtz | Pharmacist | 1900 S Telegraph Rd Ste 102, Bloomfield Hills, MI 48302-0238 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| 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 |
|---|---|---|---|---|
| 1649794702 | Daniel Mcisaac | Pharmacist | 2926 Courville Dr, Bloomfield Hills, MI 48302-1021 | 2017-07-31 |
| 1689110124 | Ngozi Ukandu | Pharmacist | 1817 Indian Trail Rd, Bloomfield Hills, MI 48302-2239 | 2017-01-08 |
| 1215365234 | Rana Jazrawi | Pharmacist | 2834 Rossmoor Cir, Bloomfield Hills, MI 48302-1052 | 2013-10-30 |
| 1255606315 | Andrea Carethers | Pharmacist | 4649 Sunningdale Dr, Bloomfield Hills, MI 48302-2457 | 2012-03-21 |
| 1275813024 | Bayan Kadry | Pharmacist | 263 Pine Ridge Dr, Bloomfield Hills, MI 48304-2138 | 2011-08-25 |
| 1568789923 | George Nazar Mansoor | Pharmacist | 6914 Wing Lake Rd, Bloomfield Hills, MI 48301-2960 | 2010-04-26 |
| 1053555045 | Donald Francis Davern | Pharmacist | 35980 Woodward Ave, Suite 325, Bloomfield Hills, MI 48304-0903 | 2009-04-22 |
| 1003096835 | Aaron Matthias Wein | Pharmacist | 42931 Woodward Ave, Bloomfield Hills, MI 48304-5035 | 2007-11-08 |
| 1881667772 | David N. Zimmerman | Pharmacist | 4532 Tanbark St, Bloomfield Hills, MI 48302-1654 | 2006-02-10 |
| 1972101780 | Nora Jabor | Pharmacist | 4101 Telegraph Rd, Bloomfield Hills, MI 48302-2037 | 2020-10-14 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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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.