Isidro II Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008406 Issued in MI

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

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Maria Young, RPHNPI 1740306778

Title

Owner, Pres, Pic

Phone

(734) 812-9129

Specialties & licenses 5

Addresses

Other identifiers 5

Other names 1

• UNIVERSITY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Maria Christina Young, BS PHARMACY

  • Pharmacist
  • Canton, MI
  • NPI 1740306778

  Health Service

  NPD (past) Authorized official
• Nawal Abdulsaid

  • Health Educator
  • Detroit, MI
  • NPI 1790251635
  NPD (past)
• Kyle Joseph Thompson, PHARMD

  • Pharmacist
  • Grand Haven, MI
  • NPI 1477029320
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1295918274",
    "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": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER, PRES, PIC",
        "authorized_official_telephone_number": "734-812-9129",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982884318",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043557",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0P57520",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS IMMUNIZATION",
            "identifier": "0P60030",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295918274",
            "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"
        }
    ]
}

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• Community/Retail Pharmacy in Canton, MI
• Providers in Canton, 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 Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.