Physicians Compounding Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

PHYSICIANS COMPOUNDING PHARMACY

Practice address

1900 S Telegraph Rd Ste 102
Bloomfield Hills, MI 48302-0238

Phone

(248) 758-9100

Fax

(248) 758-1831

NPI assigned

Dec 4, 2012

Organization subpart

No

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

Authorized official

Name

Karen Grise Raehtz, RPH

Title

Owner

Phone

(248) 758-9100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1780929653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S TELEGRAPH RD STE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020238",
            "telephone_number": "248-758-9100",
            "fax_number": "248-758-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S TELEGRAPH RD STE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020238",
            "telephone_number": "248-758-9100",
            "fax_number": "248-758-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "RAEHTZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "GRISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-758-9100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Ann Petit, PTA
• Angela Petz, LPC
• Arianna Phillips, CPNP-PC
• Jamie Phillips, LPC, NCC
• Physician Universe, PLLC
• Sherry Lee Pianko, LMSW
• Albert Pierce, MD
• Cathy Joan Pietrofesa, PH.D.
• John Joseph Pietrofesa, ED.D.
• Rossitza Prokopieva Pironkova, M.D.

• Pharmacist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.