Rainbow Center of Michigan Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

822164 Issued in MI

Legal business name

RAINBOW CENTER OF MICHIGAN INC

Practice address

12501 Hamilton Ave
Highland Park, MI 48203-3243

Phone

(313) 865-1580

Fax

(313) 865-1582

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Winnfred Griffin

Title

Ceo

Phone

(313) 575-0884

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rainbow Center of Michigan Inc

  • Specialty Pharmacy
  • Monroe, MI
  • NPI 1952597544

  O20200110000822

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rainbow Center of Michigan Inc

  • Specialty Pharmacy
  • Monroe, MI
  • NPI 1952597544

  Member Of

  NPD member

Practitioners 1

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

• Raymond Kamoo, PHD

  • Clinical Psychologist
  • Bingham Farms, MI
  • NPI 1013072164
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1912062068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14947",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482140947",
            "telephone_number": "313-575-0884",
            "fax_number": "313-865-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 HAMILTON AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033243",
            "telephone_number": "313-865-1580",
            "fax_number": "313-865-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW CENTER OF MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "WINNFRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-575-0884"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MI",
            "license": "822164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2371095",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2604097",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Procare Pharmacy Services LLC (Pro Care Pharmacy #3)
• Briana Quaker
• Rainbow
• Rainbow Center of Michigan
• Rainbow Center of Michigan
• Rainbow Centers
• Pommisubbashini Ramadurai
• Fatimah Rashad, DOULA
• Kashif G Rasool, M.D.
• Bouise Reed, AA, FAODP

• Specialty Pharmacy in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Specialty Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.