Organization Active NPI

Sema Pharm LLC

  • Community/Retail Pharmacy
  • Sterling Heights, MI
National Provider Identifier
1417065889
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010561 Issued in MI
Legal business name
SEMA PHARM LLC
Practice address
34644 Dequindre Rd
Sterling Heights, MI 48310-5233
Phone
(586) 698-0336
Fax
(586) 698-0344
NPI assigned
Aug 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Yvonne Gallagher
Title
Evp
Phone
(248) 348-1570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301010561 MI Primary

Addresses

Primary practice location

34644 Dequindre Rd
Sterling Heights, MI 48310-5233

Mailing address

34644 Dequindre Rd
Sterling Heights, MI 48310-5233
Phone (586) 698-0336

Other identifiers 1

IdentifierTypeStateIssuer
2148037OtherPK

Other names 1

  • Kashat Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151230000624 MI DME Supplier - Pharmacy 0446552962 Practice locations: Sterling Heights, MI
O20191213000637 MI Part B Supplier - Mass Immunization (Roster Biller Only) 0446552962 Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory
Tax ID family
Sema Pharm LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

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

Locations

34644 Dequindre Rd
Sterling Heights, MI 48310
Phone (586) 698-0336

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1417065889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34644 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105233",
            "telephone_number": "586-698-0336",
            "fax_number": "586-698-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34644 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105233",
            "telephone_number": "586-698-0336",
            "fax_number": "586-698-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMA PHARM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "248-348-1570"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kashat Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.