Organization Active NPI

Clinical Phcy and Pharm Care Ctr

  • Community/Retail Pharmacy
  • Rochester Hills, MI
National Provider Identifier
1457445850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006439 Issued in MI
Legal business name
CLINICAL PHCY AND PHARM CARE CTR
Practice address
6700 N Rochester Rd
Ste 101
Rochester Hills, MI 48306-4362
Phone
(248) 656-8131
Fax
(248) 656-8146
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nimesh Desai
Title
Director
Phone
(248) 656-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301006439 MI Primary

Addresses

Primary practice location

6700 N Rochester Rd
Ste 101
Rochester Hills, MI 48306-4362

Mailing address

6700 N Rochester Rd
Ste 101
Rochester Hills, MI 48306-4362

Other identifiers 2

IdentifierTypeStateIssuer
2355988OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3266393MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457445850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N ROCHESTER RD",
            "address_2": "STE 101",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N ROCHESTER RD",
            "address_2": "STE 101",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064362",
            "telephone_number": "248-656-8131",
            "fax_number": "248-656-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PHCY AND PHARM CARE CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "NIMESH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-656-8131"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2355988",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3266393",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.