NPIMap

Organization Active NPI

Accredo Health Group Inc

  • Pharmacy
  • Novi, MI
National Provider Identifier
1710933007
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5301006495 Issued in MI
Legal business name
ACCREDO HEALTH GROUP INC
Doing business as
Accredo Health Group Inc
Practice address
39625 Lewis Dr
Ste 800
Novi, MI 48377-2972
Phone
(248) 489-0300
Fax
(248) 489-1126
NPI assigned
May 26, 2006
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Victor Joseph Perini
Title
Assistant Secretary
Phone
(314) 847-0146

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X 5301006495 MI Primary
Community/Retail Pharmacy 3336C0003X NU
Home Infusion Therapy Pharmacy 3336H0001X NU
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

39625 Lewis Dr
Ste 800
Novi, MI 48377-2972

Mailing address

PO Box 954041
Saint Louis, MO 63195-0001
Phone (901) 381-7141

Other identifiers 4

IdentifierTypeStateIssuer
2043485OtherPK
2048411MedicaidOH
3416580MedicaidMI
2356500MedicaidMI

Other names 1

  • ACCREDO HEALTH GROUP INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20091109000337 MI Part B Supplier - Pharmacy 6901794007 Practice locations: Novi, MI
O20100930013597 MI DME Supplier - Pharmacy 6901794007 Practice locations: Novi, MI
O20240430000169 MI Part B Supplier - Home Infusion Therapy Supplier 6901794007 Practice locations: Novi, MI

National Provider Directory

National Provider Directory
Tax ID family
Accredo Health Group in41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1710933007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954041",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631950001",
            "telephone_number": "901-381-7141",
            "fax_number": "901-261-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39625 LEWIS DR",
            "address_2": "STE 800",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772972",
            "telephone_number": "248-489-0300",
            "fax_number": "248-489-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDO HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "PERINI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "314-847-0146"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301006495",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043485",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048411",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416580",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2356500",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCREDO HEALTH GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACCREDO HEALTH GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.