HIGHLAND PARK GLORY PHARMACY LLC (NPI# 1821439621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821439621 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK GLORY PHARMACY LLC |
| Other Organization Name | PHARMOR PHARMACY- HIGHLAND PARK |
| Practice Address |
23815 Northwestern Hwy Ste 120 Southfield MI 48075-7738 |
| Mailing Address |
23815 Northwestern Hwy Suite 120 Southfield MI 48075-7738 |
| Practice Telephone | 2489968441 |
| Practice Fax Number | 2489968827 |
| Mailing Telephone | 2489968441 |
| Mailing Fax Number | 2489968827 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | MOHAMED SOHOUBAH (OWNER) |
| Authorized Official Telephone | 2486633380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010044 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1821439621 | 05 | |
| PK | 2141090 | 01 |
| Other Name | Type Code |
|---|---|
| PHARMOR PHARMACY- HIGHLAND PARK | Doing Business As Name - Organization |
| Street Address |
23815 NORTHWESTERN HWY STE 120 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-7738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1184260838 | Dabajarx | Pharmacy | 20905 Greenfield Rd Ste 104, Southfield, MI 48075-5344 | 2019-11-18 |
| 1003302191 | Alavar Specialty Pharmacy, LLC | Pharmacy | 18877 W 10 Mile Rd Ste 107, Southfield, MI 48075-2628 | 2018-07-02 |
| 1982065850 | Great Care Pharmacy LLC | Pharmacy | 20134 W 8 Mile Rd, Southfield, MI 48075-5659 | 2016-03-18 |
| 1255760740 | Walgreens | Pharmacy | 27505 Franklin Rd Apt 207, Southfield, MI 48034-8250 | 2013-11-05 |
| 1073958831 | Franklin Apothecary LLC | Pharmacy | 29113 Northwestern Hwy, Southfield, MI 48034-1011 | 2013-05-07 |
| 1174874994 | Rx Adams Plc | Pharmacy | 16500 N Park Dr Ste 106, Southfield, MI 48075-4710 | 2012-09-20 |
| 1598032948 | Med Drug Pharmacy Inc | Pharmacy | 26206 W 12 Mile Rd Ste 108, Southfield, MI 48034-1799 | 2011-11-29 |
| 1659648749 | Chemville Pharmacy Inc | Pharmacy | 22100 W 10 Mile Rd, Southfield, MI 48033-3232 | 2011-11-17 |
| 1912151002 | Biomed Health Solutions LLC | Pharmacy | 23815 Northwestern Hwy, Suite 100, Southfield, MI 48075-7738 | 2008-11-17 |
| 1851565048 | The Medicine Cabinet 2 | Pharmacy | 21947 W Nine Mile Rd, Southfield, MI 48075 | 2008-04-17 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on HIGHLAND PARK GLORY PHARMACY LLC.
| 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.