Plymouth Pharmacy Group Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PLYMOUTH PHARMACY GROUP INC.

Practice address

39475 Ann Arbor Rd E
Plymouth, MI 48170-4524

Phone

(734) 667-4563

Fax

(888) 305-1287

NPI assigned

Oct 29, 2019

Organization subpart

No

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

Authorized official

Name

Mihaela Burnea-Brazdau

Title

Ceo

Phone

(734) 667-4563

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1609410182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39475 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39475 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704524",
            "telephone_number": "734-667-4563",
            "fax_number": "888-305-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH PHARMACY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "BURNEA-BRAZDAU",
        "authorized_official_first_name": "MIHAELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-667-4563"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plymouth Mental Health
• Plymouth Opco LLC
• Plymouth Oral & Facial Surgery, PLC
• Plymouth Physical Therapy Specialists Limited Partnership
• Plymouth Psychological Assessments PLLC
• Plymouth Sunsal Dental, PLLC
• Plymouth Urgent Care PLLC
• Plymouth Urgent Care Walk-in Clinic LLC

• Long Term Care Pharmacy in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.