Active NPI
Remedi Seniorcare of Michigan, LLC
- Long Term Care Pharmacy
- Plymouth, MI
National Provider Identifier
1699280586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- REMEDI SENIORCARE OF MICHIGAN, LLC
- Practice address
- 14700 Helm CT
Plymouth, MI 48170-6062 - Phone
- (833) 754-1260
- NPI assigned
- Dec 13, 2017
- 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
- Mr. Alan Bronfein
- Title
- Senior Vice President
- Phone
- (443) 927-8403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
14700 Helm CT
Plymouth, MI 48170-6062
Mailing address
1 Olympic PL Ste 600
Baltimore, MD 21204-4110
Phone (443) 632-1208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181126003500 | MI | DME Supplier - Pharmacy | 3779837034 | Practice locations: Plymouth, MI |
| O20210305001982 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779837034 | Practice locations: Plymouth, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Remedi Seniorcare | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
75 Remittance Dr
Dept 6924
Chicago, IL 60675
14700 Helm Ct
Plymouth, MI 48170
Phone (833) 649-6021
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Pharmacist
- Plymouth, MI
- NPI 1821553165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554422400000",
"number": "1699280586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OLYMPIC PL STE 600",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212044110",
"telephone_number": "443-632-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 HELM CT",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706062",
"telephone_number": "833-754-1260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REMEDI SENIORCARE OF MICHIGAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-13",
"last_updated": "2019-04-05",
"status": "A",
"authorized_official_last_name": "BRONFEIN",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "443-927-8403",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.