Restorative Compounding Pharmacy and Wellness LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

RESTORATIVE COMPOUNDING PHARMACY AND WELLNESS LLC

Practice address

4450 Dixie Hwy Ste a
Waterford, MI 48329-3511

Phone

(248) 266-5276

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Rick ShamoonNPI 1356932388

Title

Pic/Ceo

Phone

(248) 266-5276

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.

• Rick J Shamoon, PHARMD

  • Pharmacist
  • Waterford, MI
  • NPI 1356932388
  NPD Authorized official

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1265208193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 DIXIE HWY STE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 DIXIE HWY STE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293511",
            "telephone_number": "248-266-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE COMPOUNDING PHARMACY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "SHAMOON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PIC/CEO",
        "authorized_official_telephone_number": "248-266-5276"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery Consultants Inc
• Kerisma Reed
• Kirsti Jane Reeve, LPC
• Karen Renaud
• Sadie Renaud
• Richard C Bolten DDS PC
• Richard J. St. Louis O.D. P.C.
• Richard J. St. Louis O.D. PLLC
• Arleta Diana Richardson, BA.M.ED.LLPC. CAADC
• Jay M Richman, D.D.S.

• Compounding Pharmacy in Waterford, MI
• Providers in Waterford, MI by specialty
• Compounding Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.