Onecare LTC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5301010707 Issued in MI

Legal business name

ONECARE LTC

Practice address

1945 Heide Dr Ste a
Troy, MI 48084-5313

Phone

(248) 663-2273

Fax

(248) 663-2275

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Pierre Boutros

Title

Pharmacy Director

Phone

(248) 361-6868

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OneCare LTC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Vitoria Berisha

  • Pharmacy Technician
  • Troy, MI
  • NPI 1285325258
  NPD
• Sali Abro

  • Community/Retail Pharmacy
  • Troy, MI
  • NPI 1508453457
  NPD (past)
• Jennifer Marry Rizk, PHARMD

  • Pharmacist
  • Troy, MI
  • NPI 1043093156
  NPD (past)

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1013394378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480121239",
            "telephone_number": "248-663-2273",
            "fax_number": "248-663-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 HEIDE DR STE A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845313",
            "telephone_number": "248-663-2273",
            "fax_number": "248-663-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONECARE LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "BOUTROS",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "248-361-6868"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301010707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OneCare LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Troy, MI
• Providers in Troy, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.