Active NPI
Louella Tianello
- Pharmacist
- Lambertville, MI
National Provider Identifier
1093128654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302030060
- Practice address
- 7358 Secor Rd
Lambertville, MI 48144-9737 - Phone
- (734) 856-7984
- NPI assigned
- Jun 11, 2014
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302030060 | MI | Primary |
Addresses
Primary practice location
7358 Secor Rd
Lambertville, MI 48144-9737
Mailing address
4831 Stanley Dr
Ottawa Lake, MI 49267-9611
Phone (734) 854-4504
Other names 1
- Louella Sue Woodworth
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 |
|---|---|---|---|
| 5302030060 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rite Aid Pharmacy 04068
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
dba Rite Aid Pharmacy 07700
- Community/Retail Pharmacy
- Lambertville, MI
- NPI 1922117415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1093128654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4831 STANLEY DR",
"city": "OTTAWA LAKE",
"state": "MI",
"postal_code": "492679611",
"telephone_number": "734-854-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7358 SECOR RD",
"city": "LAMBERTVILLE",
"state": "MI",
"postal_code": "481449737",
"telephone_number": "734-856-7984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIANELLO",
"first_name": "LOUELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302030060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOUELLA",
"last_name": "WOODWORTH",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lambertville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.