Active NPI
Isidro II Inc
- Clinic Pharmacy
- Canton, MI
National Provider Identifier
1265099600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- ISIDRO II INC
- Doing business as
- University Pharmacy
- Practice address
- 7288 N Sheldon Rd Ste a
Canton, MI 48187-2150 - Phone
- (734) 812-9129
- Fax
- (734) 629-1717
- NPI assigned
- May 21, 2019
- Organization subpart
- Yes
- Parent organization
- ISIDRO II INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Christina Young
- Title
- President
- Phone
- (734) 812-9129
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
7288 N Sheldon Rd Ste a
Canton, MI 48187-2150
Mailing address
PO Box 871819
Canton, MI 48187-7519
Phone (734) 812-9129
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740306778 | Other | MI | RPH PROVIDER |
| 1477673325 | Other | RPH PHARM D PROVIDER | |
| 1295918274 | Medicaid | MI | |
| 0P57520 | Other | MI | PHARMACY |
| 0P60030 | Other | MI | MASS IMMUNIZATION |
Other names 1
- University Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Isidro II Inc
- Part of
- Isidro II Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Educator
- Canton, MI
- NPI 1457815565
-
- Pharmacy
- Canton, MI
- NPI 1861121576
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654041600000",
"number": "1265099600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 871819",
"city": "CANTON",
"state": "MI",
"postal_code": "481877519",
"telephone_number": "734-812-9129",
"fax_number": "734-629-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7288 N SHELDON RD STE A",
"city": "CANTON",
"state": "MI",
"postal_code": "481872150",
"telephone_number": "734-812-9129",
"fax_number": "734-629-1717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISIDRO II INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ISIDRO II INC",
"enumeration_date": "2019-05-21",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "CHRISTINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-812-9129"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH PROVIDER",
"identifier": "1740306778",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH PHARM D PROVIDER",
"identifier": "1477673325",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295918274",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "0P57520",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS IMMUNIZATION",
"identifier": "0P60030",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "University Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "University Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.