Active NPI
Mary Ann Spencer, CPHT
- Pharmacy Technician
- Troy, MI
National Provider Identifier
1043432099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 100105321728958
- Practice address
- 2825 Livernois Rd
Troy, MI 48083-1214 - Phone
- (248) 528-2248
- Fax
- (248) 689-8002
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 100105321728958 | MI | Primary |
Addresses
Primary practice location
2825 Livernois Rd
Troy, MI 48083-1214
Mailing address
846 Lion Street
Rochester Hills, MI 48307
Phone (248) 528-2248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100105321728958 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043432099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "846 LION STREET",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "48307",
"telephone_number": "248-528-2248",
"fax_number": "248-689-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 LIVERNOIS RD",
"city": "TROY",
"state": "MI",
"postal_code": "480831214",
"telephone_number": "248-528-2248",
"fax_number": "248-689-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "MARY ANN",
"name_prefix": "Mrs.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "100105321728958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.