Clio Road Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007593 Issued in MI

Legal business name

CLIO ROAD PHARMACY INC

Doing business as

CLIO ROAD PHARMACY

Practice address

4902 Clio Rd
Flint, MI 48504-1898

Phone

(810) 789-7084

Fax

(810) 789-7088

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Selma Dzelil, PHARMD.

Title

VP Rdo

Phone

(815) 715-8502

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CLIO ROAD PHARMACY Doing business as

Locations

Practitioners 1

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

• Robert T Rossow, RPH

  • Pharmacist
  • Flint, MI
  • NPI 1457953457
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1275575847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 CLIO RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041898",
            "telephone_number": "810-789-7084",
            "fax_number": "810-789-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 CLIO RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041898",
            "telephone_number": "810-789-7084",
            "fax_number": "810-789-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIO ROAD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "DZELIL",
        "authorized_official_first_name": "SELMA",
        "authorized_official_title_or_position": "VP RDO",
        "authorized_official_telephone_number": "815-715-8502",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2364242",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046181",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLIO ROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLIO ROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine D. Clifton, LLMSW
• Shytaz Clifton
• Julie Marie Climie, CRNA
• Gerard Climis, DPM
• Alena Mari Clinkston, LMSW
• Megan Marie Cloutier
• Alicia Clover
• Shanel Clum, LLMSW
• Clarissa C Co, PT
• Jakeira Cobb

• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, 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 Sep 29, 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.