Panacea Compounding Pharmacy PLLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PANACEA COMPOUNDING PHARMACY PLLC

Practice address

28573 Northwestern Hwy
Southfield, MI 48034-1824

Phone

(248) 841-4325

NPI assigned

Jul 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Danny AnoutiNPI 1144606575

Title

Owner

Phone

(313) 995-2595

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Danny Anouti, PHARMD

  • Pharmacist
  • Southfield, MI
  • NPI 1144606575
  NPD Authorized official

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1356913479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 MERIDAN ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241357",
            "telephone_number": "313-995-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28573 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341824",
            "telephone_number": "248-841-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA COMPOUNDING PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "ANOUTI",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-995-2595",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "28573 Northwestern Hwy",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480341824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Pallisco, PHARMD
• Margaret Palmer
• Maureen Elizabeth Palmer, OTR, CIMT
• Shiba Christine Elenore Palmer, CPRM, CPSS, CAADC-DF
• Pamila Diwan, MD
• Brooke Panfalone
• Jaclyn J Panfil, BSW, CADC-DP, CPRC
• Panoptic Psychology Group LLC
• Daniel E Panush, M.D.
• Paper Cranes Therapy Co, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.