Twelve Oaks Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TWELVE OAKS PHARMACY LLC

Practice address

44170 W 12 Mile Rd Ste 150
Novi, MI 48377-2650

Phone

(248) 466-0042

NPI assigned

Nov 10, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pritesh Ray, PHARMDNPI 1346750742

Title

Pharmacy Owner

Phone

(248) 466-0042

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pritesh Ray

  • Pharmacist
  • Center Line, MI
  • NPI 1346750742
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1003524786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44170 W 12 MILE RD STE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772650",
            "telephone_number": "248-466-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44170 W 12 MILE RD STE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772650",
            "telephone_number": "248-466-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE OAKS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "PRITESH",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "248-466-0042",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kaznecki Tustin, DPT
• Annie Tutt
• Twelve Oaks Orthodontics PLLC
• Twelve Oaks Orthodontics PLLC
• Twelve Oaks Pediatrics, PLLC
• Brittney Tworek
• Cami Tyler
• Rachel Tyler
• Christopher Tylutki
• Melanie Kay Tyrrell

• Community/Retail Pharmacy in Novi, MI
• Providers in Novi, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.