Paul Rotarius Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009114 Issued in MI

Legal business name

PAUL ROTARIUS INC

Practice address

19460 Grand River Ave
Detroit, MI 48223-1200

Phone

(313) 533-0560

Fax

(313) 533-0568

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Paul Rotarius

Title

President

Phone

(313) 533-0560

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grand River Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1174753289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19460 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231200",
            "telephone_number": "313-533-0560",
            "fax_number": "313-533-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19460 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231200",
            "telephone_number": "313-533-0560",
            "fax_number": "313-533-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL ROTARIUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "ROTARIUS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-533-0560"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2373215",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand River Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Patzer
• Paul Dental Group, PC
• Paul Dental Group, PC
• Paul Makela, M.D., P.C.
• Paul Prescriptions Pharmacy LC
• Andrina Veronica Paul
• Angela K Paul, AU.D.
• Chanta Marie Paul, CPRM
• Kai Paul
• Kimberly Lynn Paul, PSY.D.

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Dec 2, 2009; 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.