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

Peter Ponomarev

Individual provider Pharmacist · NPI 1881061984

Peter Ponomarev is a Pharmacist in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

15600 W 10 Mile Rd Unit 1B
Southfield, MI 48075-2148
Phone: (248) 569-7578
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302032680 (MI)

Record details

NPI number1881061984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 25, 2015
Last updated in NPPESAugust 25, 2015
Mailing address2516 Black Pine Trail Dr, Troy, MI 48098-4102

Other providers in Southfield