Thera Script Pharmacy Berkley PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009882 Issued in MI

Legal business name

THERA SCRIPT PHARMACY BERKLEY PLLC

Practice address

3348 12 Mile Rd
Berkley, MI 48072-1344

Phone

(248) 542-6337

NPI assigned

Aug 27, 2012

Organization subpart

No

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

Authorized official

Name

Razur Rahman

Title

Member/Manager

Phone

(313) 505-2822

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• THERA SCRIPT PHARMACY BERKLEY PLLC Doing business as

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1831447739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 W. 12 MILE ROAD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "48072",
            "telephone_number": "248-542-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721344",
            "telephone_number": "248-542-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA SCRIPT PHARMACY BERKLEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "RAZUR",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "313-505-2822"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2377085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THERA SCRIPT PHARMACY BERKLEY PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamisha Tavolacci, RN
• Nicole Teceno
• Teresa Birkmeier-Fredal MD PLLC
• Teresa R Hurtgen LMSW PLLC
• Radhika K Thalla, M.D
• Lauren Rae Thoma, DPT
• Natalie Renee Thomas
• Ryan Lee Thomason, BA
• Phelisha Michelle Thompson, LPN
• Nelson Thorn III, LPN

• Community/Retail Pharmacy in Berkley, MI
• Providers in Berkley, 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 Aug 27, 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.