Macomb Pharmacy and Wellness

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MACOMB PHARMACY AND WELLNESS

Practice address

37035 S Gratiot Ave
Clinton Township, MI 48036-2710

Phone

(586) 333-5526

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

Anula Jose Thuruthikkara, RPHNPI 1174805543

Title

Pharmacist

Phone

(586) 303-7386

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Anula Thuruthikkara, RPH

  • Pharmacist
  • Clinton Township, MI
  • NPI 1174805543
  NPD Authorized official

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1750928313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39590 LAKESHORE DR",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480451864",
            "telephone_number": "586-303-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37035 S GRATIOT AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362710",
            "telephone_number": "586-333-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB PHARMACY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "THURUTHIKKARA",
        "authorized_official_first_name": "ANULA",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "586-303-7386",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macomb Gastroenterology PC
• Macomb General and Vascular Surgery, P.L.C.
• Macomb Intermediate School District
• Macomb Medical Supply Inc
• Macomb Oakland Regional Center Inc.
• Macomb Regional Dialysis Centers, L.L.C.
• Macomb Therapy Group, PLLC
• Lea Nichole Maddox, D.O.
• Sarah Madsen, PA-C
• Alex Andrew Maes, DPT

• Community/Retail Pharmacy in Clinton Township, MI
• Providers in Clinton Township, 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 Dec 3, 2019; 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.