Active NPI
Harper-Hutzel Hospital
- Community/Retail Pharmacy
- Detroit, MI
National Provider Identifier
1013978592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301007840
- Legal business name
- HARPER-HUTZEL HOSPITAL
- Practice address
- 3990 John R.
Suite 1460
Detroit, MI 48201-2018 - Phone
- (313) 966-3148
- Fax
- (313) 745-0911
- NPI assigned
- Apr 1, 2006
- Organization subpart
- Yes
- Parent organization
- HARPER-HUTZEL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marianne Rodemeyer, RPH, M.S.
- Title
- Manager, Retail Pharmacy Services
- Phone
- (313) 745-4215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301007840 | MI | Primary |
Addresses
Primary practice location
3990 John R.
Suite 1460
Detroit, MI 48201-2018
Mailing address
P.O. Box 673074
Detroit, MI 48267-3074
Phone (313) 966-3148
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4836060 | Medicaid | MI | |
| 2365523 | Medicaid | MI |
Other names 1
- DMC Pharmacy-Harper
National Provider Directory
National Provider Directory- Part of
- Melissa a Davidson MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1013978592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 673074",
"city": "DETROIT",
"state": "MI",
"postal_code": "482673074",
"telephone_number": "313-966-3148",
"fax_number": "313-745-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R.",
"address_2": "SUITE 1460",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012018",
"telephone_number": "313-966-3148",
"fax_number": "313-745-0911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARPER-HUTZEL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HARPER-HUTZEL HOSPITAL",
"enumeration_date": "2006-04-01",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "RODEMEYER",
"authorized_official_first_name": "MARIANNE",
"authorized_official_title_or_position": "MANAGER, RETAIL PHARMACY SERVICES",
"authorized_official_telephone_number": "313-745-4215",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH, M.S."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301007840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4836060",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2365523",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DMC Pharmacy-Harper",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.