Dynamic Pharmacy and Health Solutions LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010564 Issued in MI

Legal business name

DYNAMIC PHARMACY AND HEALTH SOLUTIONS LLC.

Practice address

350 E 9 Mile Rd
Hazel Park, MI 48030-1854

Phone

(248) 397-8635

Fax

(248) 397-8970

NPI assigned

Sep 3, 2014

Last updated

Aug 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ifeoma Odocha, PHARM.D.NPI 1881235315

Title

Pic/Owner

Phone

(248) 252-3303

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ifeoma C Odocha

  • Pharmacist
  • Hazel Park, MI
  • NPI 1881235315
  NPD Authorized official

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1154721520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 9 MILE RD",
            "address_2": "SUITE 2",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301842",
            "telephone_number": "248-397-8635",
            "fax_number": "248-397-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 9 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301854",
            "telephone_number": "248-397-8635",
            "fax_number": "248-397-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHARMACY AND HEALTH SOLUTIONS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "ODOCHA",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "248-252-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301010564",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010564",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Hazel Park, MI
• Providers in Hazel Park, 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 Aug 7, 2019; 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.