Individual provider Active NPI

Mandy Mastronardi-Morris

  • Community/Retail Pharmacy
  • Bloomfield Hills, MI
National Provider Identifier
1083180715
Registry record updated Oct 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009451 Issued in MI
Practice address
43121 Woodward Ave
Bloomfield Hills, MI 48302-5005
Phone
(248) 499-7840
Fax
(248) 481-9523
NPI assigned
Oct 20, 2018
Last updated
Oct 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009451 MI Primary

Addresses

Primary practice location

43121 Woodward Ave
Bloomfield Hills, MI 48302-5005

Mailing address

43121 Woodward Ave
Bloomfield Hills, MI 48302-5005
Phone (248) 499-7840

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

LicenseStateTypeSpecialty
5301009451MIMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
H R & M Drugs Inc. Community/Retail Pharmacy Current Accepting new patients

Locations

43121 Woodward Ave
Bloomfld Hls, MI 48302
Phone (248) 499-7840

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539993600000",
    "number": "1083180715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43121 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025005",
            "telephone_number": "248-499-7840",
            "fax_number": "248-481-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43121 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025005",
            "telephone_number": "248-499-7840",
            "fax_number": "248-481-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRONARDI-MORRIS",
        "first_name": "MANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-20",
        "last_updated": "2018-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; 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.