Rosedale Community Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009296 Issued in MI

Legal business name

ROSEDALE COMMUNITY PHARMACY INC

Practice address

19220 Grand River Ave
Detroit, MI 48223-1707

Phone

(313) 531-0100

Fax

(313) 531-0101

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Zainab Jaafar

Title

President

Phone

(734) 262-4600

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ROSEDALE COMMUNITY PHARMACY Doing business as

Locations

Practitioners 1

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

• Ibrahim A. Chami, R.PH

  • Pharmacist
  • Detroit, MI
  • NPI 1548720204
  NPD (past)

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1699007542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532258",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481532258",
            "telephone_number": "313-531-0100",
            "fax_number": "313-531-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19220 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231707",
            "telephone_number": "313-531-0100",
            "fax_number": "313-531-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEDALE COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "JAAFAR",
        "authorized_official_first_name": "ZAINAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-262-4600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699007542",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123723",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSEDALE COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Tender Care
• Blandina Margaret Rose-Willis, MED, PHD
• Kathryn Rose, WHNP
• Roseberry Adult Foster Care
• Roderick Roseberry, SST
• Rosedale Eyecare
• Rosedale Vision
• Rosedale Vision
• Ronald David Roseman, PHYSICAL THERAPIST
• Rosemary Brown PLLC

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Nov 18, 2014; 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.