GRAND RIVER PHARMACY – NPI #1174753289
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Health Care Provider Taxonomy Code for Pharmacy

GRAND RIVER PHARMACY is a pharmacy located in DETROIT, MI. NPPES has assigned the NPI number 1174753289 to GRAND RIVER PHARMACY on July 23, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRAND RIVER PHARMACY” is a dba name, the actual legal business name for this organization is PAUL ROTARIUS INC. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 17 years ago on Dec 02, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAND RIVER PHARMACY below.

NPI Profile for
PAUL ROTARIUS INC

NPI Number
1174753289
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAUL ROTARIUS INC
Doing Business As (dba): GRAND RIVER PHARMACY
Primary location
19460 GRAND RIVER AVE
DETROIT, MI 48223-1200
Phone: (313) 533-0560 Fax: (313) 533-0568
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL ROTARIUS
PRESIDENT
Phone: (313) 533-0560
Updated
Identifiers

Identifiers for GRAND RIVER PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDP PROVIDER IDENTIFICATION NUMBER2373215
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)		 MI 5301009114

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.