ST CLAIR PHARMACY LLC (NPI# 1972824126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972824126 |
| Entity Type | Organization |
| Organization Name | ST CLAIR PHARMACY LLC |
| Other Organization Name | PHARMOR PHARMACY- ST. CLAIR SHORES |
| Practice Address |
28001 Harper Ave Saint Clair Shores MI 48081-1561 |
| Practice Telephone | 5864435180 |
| Practice Fax Number | 5864435185 |
| Mailing Telephone | 5864435180 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | MURSALA AHMED (OWNER/CHIEF PHARMACIST) |
| Authorized Official Telephone | 5864435180 |
| Authorized Official Credential | RPH |
| 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 |
5301009373 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2125470 | 01 |
| Other Name | Type Code |
|---|---|
| PHARMOR PHARMACY- ST. CLAIR SHORES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306918909 | St Clair Pharmacy LLC | Pharmacy | 270 Industrial Blvd, Leesburg, AL 35983-3737 | 2006-11-15 |
| Street Address |
28001 HARPER AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184180119 | Naif Bazzi | Pharmacist | 28001 Harper Ave, Saint Clair Shores, MI 48081-1561 | 2019-02-14 |
| 1881172989 | Geriatric Associates of Michigan, Pllc | Internal Medicine | 28001 Harper Ave, Saint Clair Shores, MI 48081 | 2018-07-31 |
| 1639656721 | Kali M Mcleod | Nurse Practitioner | 28001 Harper Ave, Saint Clair Shores, MI 48081-1561 | 2018-07-23 |
| 1336326362 | Amitha Parvataneni | Family Medicine | 28001 Harper Ave, Saint Clair Shores, MI 48081-1561 | 2008-01-22 |
| 1629110804 | Shores Primary Care, P.C. | Legal Medicine | 28001 Harper Ave, Saint Clair Shores, MI 48081-1561 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| 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 |
|---|---|---|---|---|
| 1558906586 | Vincents Rx LLC | Pharmacy | 29619 Harper Ave, Saint Clair Shores, MI 48082-1640 | 2019-11-13 |
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1265865372 | Madhav Pharmacy LLC | Pharmacy | 24800 Harper Ave, Suite 2, Saint Clair Shores, MI 48080-1292 | 2013-08-12 |
| 1073615365 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22515 Greater Mack Ave, Saint Clair Shores, MI 48080-2040 | 2006-09-05 |
| 1356453294 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 24001 Harper Ave, Saint Clair Shores, MI 48080-1467 | 2006-08-31 |
| 1083726913 | Woodward Detroit Cvs, L.l.c | Pharmacy | 27700 Harper Ave, Saint Clair Shores, MI 48081-1506 | 2006-08-31 |
| 1033221981 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 31240 Harper Ave, Saint Clair Shores, MI 48082-1402 | 2006-08-31 |
| 1467467589 | Walgreen Co | Pharmacy | 32201 Harper Ave, Saint Clair Shores, MI 48082-1408 | 2006-07-29 |
| 1891266607 | Saint Clair Shores Pharmacy LLC | Pharmacy | 23600 Harper Ave Ste 101, Saint Clair Shores, MI 48080-1445 | 2018-12-06 |
| 1790297596 | Saint Clair Pharmacy LLC | Pharmacy | 23600 Harper Ave Ste 101, Saint Clair Shores, MI 48080-1445 | 2017-11-02 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on ST CLAIR 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.