Sunny Rae Masterton, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

53020346556 Issued in MI

Practice address

217 E US Highway 223
Adrian, MI 49221-4215

Phone

(517) 266-2133

Fax

(517) 266-2165

NPI assigned

Jan 2, 2014

Last updated

Jan 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meijer, Inc

  dba Meijer Pharmacy #045

  • Community/Retail Pharmacy
  • Adrian, MI
  • NPI 1851431308
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1023439429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 N HOLLAND SYLVANIA RD",
            "address_2": "APT 2302",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232598",
            "telephone_number": "419-787-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E US HIGHWAY 223",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492214215",
            "telephone_number": "517-266-2133",
            "fax_number": "517-266-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERTON",
        "first_name": "SUNNY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "53020346556",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03325802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald J Martin Jr., MD
• Bryana Marie Martinez
• Madison Mae Martinez, BSW
• Darryl J Martins, DPM
• Mark A Mastellotto, DDS
• Thomas K Mathew, M.D.
• Scott Mathew Mattern
• Danyelle Matthews
• Maverick Spirits LLC
• Jon Michael Maxwell, MD

• Pharmacist in Adrian, MI
• Providers in Adrian, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.