Dalcoma Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010422 Issued in MI

Legal business name

DALCOMA SPECIALTY PHARMACY LLC

Doing business as

Dalcoma Specialty Pharmacy

Practice address

43337 Schoenherr Rd
Sterling Heights, MI 48313-1959

Phone

(586) 697-3877

Fax

(586) 697-3878

NPI assigned

Mar 16, 2014

Organization subpart

No

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

Authorized official

Name

Himal Shah

Title

Owner

Phone

(248) 566-0116

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dalcoma Specialty Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Member organizations 1

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

• Highland Pharmacy LLC

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

  Member Of

  NPD member

Locations

Practitioners 2

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

• Erin Young, PHARM D

  • Pharmacist
  • Roseville, MI
  • NPI 1841640042
  NPD
• Nicole Odisho

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

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

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1578989489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43337 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131959",
            "telephone_number": "586-697-3877",
            "fax_number": "586-697-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43337 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131959",
            "telephone_number": "586-697-3877",
            "fax_number": "586-697-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALCOMA SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-16",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HIMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-566-0116"
    },
    "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": "5301010422",
            "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": "2145053",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dalcoma Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dalcoma Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Dadswell, LMSW, CBIS, C-ASWCM
• Sandra Scetta Dagenais, CRNA
• Frank Lawrence Dagostino, DC
• Santina May Dakhoo
• Swati Dilip Dakwale
• Evy Elizabeth Dale
• Audrie Dalman, CTRS
• Latorria Mykel Dalton
• Stacey Marie Dalton, MA, LPC
• Christian M Daman, M.S, LLPC

• Community/Retail Pharmacy in Sterling Heights, MI
• Providers in Sterling Heights, 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 May 6, 2019; 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.