HERBERT SHANBAUM (NPI# 1952380065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952380065 |
Entity Type | Organization |
Organization Name | HERBERT SHANBAUM |
Other Organization Name | HOLIDAY PHARMACY PLLC |
Practice Address |
37771 Schoenherr Rd Sterling Heights MI 48312-2302 |
Mailing Address |
6443 Inkster Rd Ste 170f Bloomfield Hills MI 48301-1318 |
Practice Telephone | 5862744332 |
Practice Fax Number | 5862744828 |
Mailing Telephone | 5862744332 |
Mailing Fax Number | 5862744828 |
Enumeration Date | 2006-01-17 |
Last Update Date | 2018-07-19 |
Authorized Official Name | CATHY BARKER (FINANCE MGR) |
Authorized Official Telephone | 2489659252 |
Authorized Official Credential | B.SC.,R.PH.,P.D |
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 |
5301003121 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2040962 | 01 | |
MI | 2318598 | 05 | |
MI | 4845265 | 05 |
Other Name | Type Code |
---|---|
HOLIDAY PHARMACY PLLC | Doing Business As Name - Organization |
Street Address |
37771 SCHOENHERR RD |
City | STERLING HEIGHTS |
State | MI |
Zip Code | 48312-2302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548243835 | Samer Y Kazziha | Internal Medicine | 37771 Schoenherr Rd, Suite 101, Sterling Heights, MI 48312 | 2005-11-21 |
1992153068 | Christina Barbat | Family Medicine | 37771 Schoenherr Rd, Sterling Heights, MI 48312 | 2016-05-31 |
1386099034 | Tami Jensen | Registered Nurse | 37771 Schoenherr Rd, #101, Sterling Heights, MI 48312-2302 | 2016-05-02 |
1073885869 | Kidney Consultants of Michigan Pllc | Internal Medicine | 37771 Schoenherr Rd, Ste # 101, Sterling Heights, MI 48312-2302 | 2012-02-08 |
1194009654 | Karishma Walvekar | Family Medicine | 37771 Schoenherr Rd, Suite 102, Sterling Heights, MI 48312-2302 | 2011-10-03 |
1821379751 | Sterling Heights Urgent Care Pllc | Clinic/Center | 37771 Schoenherr Rd, Suite 102, Sterling Heights, MI 48312-2302 | 2011-09-06 |
1760772362 | Sarwan Kumar | Internal Medicine | 37771 Schoenherr Rd, Suite 104, Sterling Heights, MI 48312-2302 | 2011-04-15 |
1780997445 | Urgent Care of Sterling Heights PC | Clinic/Center | 37771 Schoenherr Rd, Suite 103, Sterling Heights, MI 48312-2302 | 2010-07-22 |
1720263346 | Herb Shanbaum | Pharmacist | 37771 Schoenherr Rd, Sterling Heights, MI 48312-2302 | 2008-01-02 |
1568645661 | Vincent James Paglino | Pharmacist | 37771 Schoenherr Rd, Sterling Heights, MI 48312-2302 | 2007-12-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043701287 | Erin Krugel | Physical Therapist | 33464 Schoenherr Rd Ste 100, Sterling Heights, MI 48312 | 2018-05-23 |
1124556691 | Roman Novatchinski | Licensed Practical Nurse | 13654 Brougham, Sterling Heights, MI 48312 | 2017-05-30 |
1679010763 | Lake City Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 33389 Van Dyke Ave, Sterling Heights, MI 48312 | 2017-01-26 |
1598113912 | Joseph Donald Evens | Occupational Therapist | 11635 Filer Drive, Sterling Heights, MI 48312 | 2016-05-26 |
1942656855 | Damini Desai | Technician, Other | 38157 Corbett Dr, Sterling Heights, MI 48312 | 2016-05-10 |
1891151593 | Your Healing Hands Massage Therapy, LLC | Massage Therapist | 6029 E 14 Mile Rd Ste 200, Sterling Heights, MI 48312 | 2016-01-11 |
1033539069 | Macomb County Community Mental Health | Community/Behavioral Health | 6555 15 Mile Road, Sterling Heights, MI 48312 | 2014-04-17 |
1467705871 | Julie Anne Hepke | Social Worker | 13213 E. 14 Mile Road, Sterling Heights, MI 48312 | 2012-10-23 |
1619226354 | Kimberly Marie Dorband | Physical Therapy Assistant | 6041 15 Mile Road, Sterling Heights, MI 48312 | 2012-09-07 |
1477810026 | Frances Sherryl Salvadora Ramos | Physical Therapist | 8170 Crestview Dr Apt 6, Sterling Heights, MI 48312 | 2012-04-20 |
Find all providers in zip 48312 |
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 |
---|---|---|---|---|
1992357479 | Metro Rx | Pharmacy | 3053 Metropolitan Pkwy Suite 107, Sterling Heights, MI 43310 | 2019-07-15 |
1568948891 | Crittenton Rx LLC | Pharmacy | 42370 Van Dyke Ave Ste 105, Sterling Heights, MI 48314-3487 | 2018-07-19 |
1114413085 | Quality Care Pharmacy LLC | Pharmacy | 33740 Schoenherr Rd, Sterling Heights, MI 48312-6404 | 2018-07-03 |
1578050035 | Metro Rx LLC | Pharmacy | 3058 Metropolitan Pkwy Ste 107, Sterling Heights, MI 48310-3600 | 2018-04-19 |
1689064735 | Pharm E-z, Inc. | Pharmacy | 35814 Dequindre Rd, Sterling Heights, MI 48310-4290 | 2015-01-28 |
1447680350 | American Discount Pharmacy | Pharmacy | 2767 E 14 Mile Rd, Sterling Heights, MI 48310-5962 | 2013-11-14 |
1114354164 | Pharmacarxe of Sterling Heights LLC | Pharmacy | 4135 15 Mile Rd, Sterling Heights, MI 48310-5400 | 2013-10-07 |
1891894192 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 43611 Schoenherr Rd, Sterling Heights, MI 48313-1114 | 2006-09-22 |
1609978998 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 4025 18 Mile Rd, Sterling Heights, MI 48314-3901 | 2006-09-05 |
1851403786 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 3678 15 Mile Rd, Sterling Heights, MI 48310-5355 | 2006-08-31 |
Find all providers in STERLING HEIGHTS |
City | STERLING HEIGHTS |
Zip Code | 48312 |
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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.