Active NPI
Rose Rex LLC
- Long Term Care Pharmacy
- Highland, MI
National Provider Identifier
1609477389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609477389 | Medicaid | MI |
Other names 1
- Rexall Highland Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.