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ST JOSEPH MERCY PROFESSIONAL PHARMACY NPI 1508909847


NPI Information

NPI: 1508909847
Provider Name: ST JOSEPH MERCY PROFESSIONAL PHARMACY
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
44405 WOODWARD AVE
B116
PONTIAC, MI
ZIP 48341
Phone: (248) 305-7985
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ST JOSEPH MERCY PROFESSIONAL PHARMACY is a home infusion therapy pharmacy pharmacy in Pontiac, MI. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. ST JOSEPH MERCY PROFESSIONAL PHARMACY NPI is 1508909847. The provider is registered as an organization entity type.

The provider's business location address is:

44405 WOODWARD AVE
B116
PONTIAC, MI
ZIP 48341-023
Phone: (248) 305-7985
Fax: (248) 305-8677

The provider's authorized official is Phil Wein .
The authorized official title is Pharmacy Manager and has the following contact phone number (248) 858-3053.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336H0001XPharmacyHome Infusion Therapy PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OF316770OTHERMICHIGANBCBS DME
24168922MEDICAIDMICHIGAN
3OF300520OTHERMICHIGANBCBS HIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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