PHARMOR PHARMACY EVERGREEN


Address: 20250 West 7 Mile Road, Detroit, MI 48219
Phone: 3135359755

PHARMOR PHARMACY EVERGREEN (NPI# 1962801373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962801373
Entity Type Organization
Organization Name PHARMOR PHARMACY EVERGREEN
Practice Address 20250 West 7 Mile Road
Detroit
MI 48219
Mailing Address 20250 W 7 Mile Rd
Detroit
MI 48219-3469
Practice Telephone 3135359755
Mailing Telephone 3135359755
Enumeration Date 2014-08-21
Last Update Date 2014-08-21
Authorized Official Name NISAR AHMED (PHARMACIST IN CHARGE)
Authorized Official Telephone 3135359755
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service 5315049752 MI Managed Care Organizations

Office Location

Street Address 20250 WEST 7 MILE ROAD
City DETROIT
State MI
Zip Code 48219

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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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Competitor

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City DETROIT
Zip Code 48219

Improve Information

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Dataset Information

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.

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