Tel-12 Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TEL-12 PHARMACY LLC

Practice address

29201 Telegraph Rd Ste 230
Southfield, MI 48034-7645

Phone

(248) 304-7705

Fax

(248) 395-0495

NPI assigned

Dec 12, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Monty Michael Kamposh

Title

Owner

Phone

(248) 304-7705

Specialties & licenses 1

Addresses

Other names 1

• Tel-12 Pharmacy Doing business as

Locations

Practitioners 5

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

• Shalonda Lanae Byrd, RPH

  • Pharmacist
  • Southfield, MI
  • NPI 1649556952
  NPD (past)
• Lonnie Joe Jr., M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1972657260
  NPD (past)
• Lascelles Pinnock, M.D

  • Otolaryngology Physician
  • Allen Park, MI
  • NPI 1295766137
  NPD (past)
• Veronica Kemerko Sesi, D.O.

  • Neurology Physician
  • Shelby Township, MI
  • NPI 1801007620
  NPD (past)
• Martin A Tuma, MD

  • Vascular Surgery Physician
  • Southfield, MI
  • NPI 1154331858
  NPD (past)

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1619375201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "address_2": "SUITE 530",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753730",
            "telephone_number": "248-304-7686",
            "fax_number": "248-479-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 230",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347645",
            "telephone_number": "248-304-7705",
            "fax_number": "248-395-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEL-12 PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "KAMPOSH",
        "authorized_official_first_name": "MONTY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-304-7705",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tel-12 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Aja C. Temple, PHD
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• Community/Retail Pharmacy in Southfield, MI
• Providers in Southfield, 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 Jul 7, 2022; 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.