Van Dyke RX LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

VAN DYKE RX LLC

Practice address

39880 Van Dyke Ave Ste 101
Sterling Heights, MI 48313-4669

Phone

(586) 939-9580

Fax

(586) 978-1854

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Rita Morad, RPHNPI 1043502578

Title

Owner/Pharmacist

Phone

(248) 798-3816

Specialties & licenses 1

Addresses

Other names 1

• Plum Rx Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Rita Morad, PHARMD

  • Pharmacist
  • Waterford, MI
  • NPI 1043502578
  NPD Authorized official

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1649934233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39880 VAN DYKE AVE STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134669",
            "telephone_number": "586-939-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39880 VAN DYKE AVE STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134669",
            "telephone_number": "586-939-9580",
            "fax_number": "586-978-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DYKE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "MORAD",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "248-798-3816",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plum Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abhijeet Vaidya, PT
• Rakesh V Vakhariya, D.O.
• Vanya Astra Valencia, PA
• Suneetha Vallepalli, PTA
• Joshua Valley
• Nicole Marie Van Houw, DPT
• Elizabeth Hong Van, DDS
• Cassandra Maria Vanbibber
• Jessica Vandenbark
• Peter Shane Vanderbeek, DDS

• All providers in Sterling Heights, MI
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.