Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Cancer Care Specialists

Organization Non-Pharmacy Dispensing Site · NPI 1407962442

Community Cancer Care Specialists is a Non-Pharmacy Dispensing Site in Mount Clemens, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1030 Harrington St Ste 301
Mount Clemens, MI 48043-2967
Phone: (586) 493-3440
Fax: (586) 493-3455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 5101009575 (MI)

Record details

NPI number1407962442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Nowak — Practice Manager · (586) 493-3435
Other names Paul M Derderian Do
NPI enumeratedAugust 22, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1030 Harrington St, Ste 301, Mount Clemens, MI 48043-2967