Select Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010943 Issued in MI

Legal business name

SELECT CARE PHARMACY LLC

Doing business as

Select Care Pharmacy, LLC

Practice address

28003 John R Rd
Madison Heights, MI 48071-2809

Phone

(248) 246-7997

Fax

(245) 565-2029

NPI assigned

May 11, 2016

Last updated

Dec 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virendra Gaidhane

Title

Ceo/Ao

Phone

(248) 246-7997

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Select Care Pharmacy, LLC Doing business as

Locations

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1588010334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28003 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712809",
            "telephone_number": "248-246-7997",
            "fax_number": "245-565-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28003 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712809",
            "telephone_number": "248-246-7997",
            "fax_number": "245-565-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "GAIDHANE",
        "authorized_official_first_name": "VIRENDRA",
        "authorized_official_title_or_position": "CEO/AO",
        "authorized_official_telephone_number": "248-246-7997"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010943",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160107",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82265105",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Care Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ted H Schwartzenfeld, D.O.
• Seasons Hospice & Palliative Care of Michigan, LLC (AccentCare Hospice & Palliative Care of Michigan)
• Seasons Medical Group of Michigan, PC (AccentCare Medical Group of Michigan)
• Sehgal Chiropractic, Inc.
• Carrie Suzanne Seidl, PA-C
• Self Reflections Counseling LLC
• Kanuj Sethi
• Seton Health Corporation of Southeastern Michigan
• Uditi Shah
• Tasfia Shahid

• Community/Retail Pharmacy in Madison Heights, MI
• Providers in Madison 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 Dec 22, 2016; 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.