Dynamic Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009742 Issued in MI

Legal business name

DYNAMIC CARE PHARMACY LLC

Doing business as

Dynamic Care Pharmacy

Practice address

4121 W 13 Mile Rd
Royal Oak, MI 48073-6655

Phone

(248) 850-1802

Fax

(248) 850-1803

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

Sandip PatelNPI 1154832210

Title

Owner/Manager

Phone

(248) 850-1802

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dynamic Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Highland Pharmacy LLC

  dba Highland Pharmacy

  • Community/Retail Pharmacy
  • Waterford, MI
  • NPI 1558506451

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandip Patel, PHARM.D.

  • Pharmacist
  • Royal Oak, MI
  • NPI 1154832210
  NPD Authorized official
• Anthony Mauro Coppola, RPH.

  • Pharmacist
  • Royal Oak, MI
  • NPI 1487977922
  NPD
• Nicole Odisho

  • Pharmacist
  • Royal Oak, MI
  • NPI 1366927873
  NPD (past)
• Joseph Vannoy, PHARMD

  • Pharmacist
  • Warren, MI
  • NPI 1780179226
  NPD (past)

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1407123953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736655",
            "telephone_number": "248-850-1802",
            "fax_number": "248-850-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736655",
            "telephone_number": "248-850-1802",
            "fax_number": "248-850-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "248-850-1802"
    },
    "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": "5301009742",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silvestre Roberto Duran, M.D.
• Rashed E Durgham, MD
• Julio Duronio
• Elizabeth Duvall, MD
• Amy Dwelle, PT
• Dynamic Healing Collective, PLLC
• Dynamic Life, PLLC (Dynamic Life Chiropractic)
• Savannah Dynkowski, LLMSW
• Paula Foresi Dziurda
• Douglas Eades, DDS

• Community/Retail Pharmacy in Royal Oak, MI
• Providers in Royal Oak, 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 Nov 18, 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.