Organization Active NPI

Rose Rex LLC

  • Long Term Care Pharmacy
  • Highland, MI
National Provider Identifier
1609477389
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ROSE REX LLC
Doing business as
Rexall Highland Pharmacy
Practice address
2330 S Milford Rd Ste 114
Highland, MI 48357-4982
Phone
(248) 782-7979
NPI assigned
Nov 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Candi Tolf
Title
3Rd Party Coordinator
Phone
(248) 963-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2330 S Milford Rd Ste 114
Highland, MI 48357-4982

Mailing address

4301 Orchard Lake Rd Ste 180-183
West Bloomfield, MI 48323-1604
Phone (248) 963-7979

Other identifiers 1

IdentifierTypeStateIssuer
1609477389MedicaidMI

Other names 1

  • Rexall Highland Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2330 S Milford Rd
Ste 114
Highland, MI 48357
Phone (248) 782-7979

NPI Registry JSON

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1609477389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ORCHARD LAKE RD STE 180-183",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231604",
            "telephone_number": "248-963-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S MILFORD RD STE 114",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574982",
            "telephone_number": "248-782-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE REX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-08",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "TOLF",
        "authorized_official_first_name": "CANDI",
        "authorized_official_title_or_position": "3RD PARTY COORDINATOR",
        "authorized_official_telephone_number": "248-963-7979"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609477389",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rexall Highland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rexall Highland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.