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WATERFORD MEDICAL PHARMACY INC
NPI 1093726507
Pharmacy - Community/Retail Pharmacy in Waterford, MI

Active since August 10, 2006
3560 PONTIAC LAKE RD, WATERFORD, MI 48328(248) 674-4853(248) 674-3356 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waterford Medical Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERFORD MEDICAL PHARMACY INC (NPI 1093726507) is a healthcare organization registered as a community/retail pharmacy in Waterford, Michigan and active in the NPI registry since August 2006. The organization lists Howard Garvin, President, as its authorized official.

NPPES Registry Identity

NPI1093726507
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWATERFORD MEDICAL PHARMACY INC
Location Address3560 PONTIAC LAKE RDWaterford, MI 48328-2337
Mailing Address3560 Pontiac Lake RdWaterford, MI 48328-2337 · (248) 674-4853 · Fax (248) 674-3356
Phone(248) 674-4853
Fax(248) 674-3356
Organization SubpartNo
Authorized OfficialHoward GarvinPresident · (248) 674-4853
Enumeration DateAugust 10, 2006
Last NPPES UpdateOctober 19, 2012
✔ NPI 1093726507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301003530
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
3560 PONTIAC LAKE RD, Waterford, MI 48328
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Other Names 1

Doing Business AsWaterford Medical Pharmacy Inc

Other Identifiers 2

Medicaid2329351MI
Other2329351Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL M. GOLD D.O.
Family Medicine
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2259
GREAT LAKES PODIATRY ASSOCIATES PLLC
Podiatrist (Foot & Ankle Surgery)
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2575
SHELDON J GOLDSTEIN DPM
Podiatrist (Foot & Ankle Surgery)
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2575
DR. JOEL K LEIB DO
Family Medicine
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2259
MICHIGAN ASSOCIATES IN PODIATRIC MEDICINE AND SURGERY PC
Podiatrist (Foot & Ankle Surgery)
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2575
MARSHA SCHULTZ PA
Personal Emergency Response Attendant
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2259
WATERFORD MEDICAL ASSOCIATES PC
Family Medicine
3560 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-2259

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waterford Medical Pharmacy Inc's NPI number?

The NPI number for Waterford Medical Pharmacy Inc is 1093726507. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Waterford Medical Pharmacy Inc located?

Waterford Medical Pharmacy Inc is located at 3560 Pontiac Lake Rd, Waterford, MI 48328. The listed phone number is (248) 674-4853.

What is Waterford Medical Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Waterford Medical Pharmacy Inc was last updated on October 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.