Santosh N Pandya, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302036078 Issued in MI

Practice address

16311 Grand River Ave
Detroit, MI 48227-1825

Phone

(313) 838-1100

Fax

(313) 838-1103

NPI assigned

Dec 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1710492673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 COMMERCE DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481859120",
            "telephone_number": "734-728-4030",
            "fax_number": "734-728-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271825",
            "telephone_number": "313-838-1100",
            "fax_number": "313-838-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481859120",
            "country_code": "US",
            "telephone_number": "734-728-4030",
            "fax_number": "734-728-4037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "SANTOSH",
        "middle_name": "N",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649404526",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902143118",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pams Place Counseling Center
• Panacea Therapeutic Solutions LLC
• Pooja Panchal, DO
• Paritosh Pandey, M.D
• Hardik Dinesh Pandya, P.T.
• Aaron You Pang, MD
• Julia Pangborn-Harley, MA
• Ruel Pangilinan
• Sreehari Baiju Panicker, MD
• Catherine Ann Panik, CAC-II, ICADC

• Pharmacist in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.