Rainbow Center of Michigan Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

580077 Issued in MI

Legal business name

RAINBOW CENTER OF MICHIGAN INC

Practice address

14733 S Telegraph Rd
Monroe, MI 48161-9545

Phone

(734) 234-8707

Fax

(734) 243-8710

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Winnifred Griffin

Title

Ceo

Phone

(313) 575-0884

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RAINBOW CENTER OF MICHIGAN INC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

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
  • Highland Park, MI
  • NPI 1912062068

  O20200110000822

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Rainbow Center of Michigan Inc

  • Specialty Pharmacy
  • Highland Park, MI
  • NPI 1912062068

  Member Of

  NPD member

Practitioners 2

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

• Shaun Cooper, PH.D

  • Addiction (Substance Use Disorder) Psychologist
  • Highland Park, MI
  • NPI 1609167907
  NPD (past)
• 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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1952597544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14733 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619545",
            "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": "14733 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619545",
            "telephone_number": "734-234-8707",
            "fax_number": "734-243-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW CENTER OF MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "WINNIFRED",
        "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": "580077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2604097",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINBOW CENTER OF MICHIGAN INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khalid I Ragab, DMD
• Syed Irfan-Ur Rahman
• Rainbow Center of Michigan
• Rainbow Center of Michigan
• Rainbow Center of Michigan
• Rainbow Center of Michigan, Inc
• Rainbow Centers of Michigan
• Raisin Valley Anesthesia Associates, PC
• Ali Rammal, M.D.
• Sahani Ranasinghe, MD

• Specialty Pharmacy in Monroe, MI
• Providers in Monroe, 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.