Jolly Joseph, RPH
Individual provider Active NPI Pharmacist · Almont, MI
NPI 1114219490 · NPPES record last updated May 5, 2011
Key facts
- NPI
- 1114219490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302035775 (MI)
- Practice address
- 860 N Vandyke
Almont, MI 48315 - Phone
- (810) 798-8501
- NPI assigned
- May 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302035775 | 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 | |
| Holy Family LLC. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302035775 | MI | Yes |
Addresses
Primary practice location
860 N Vandyke
Almont, MI 48315
Mailing address
49650 Lakebridge Dr
Shelby Township, MI 48315-3511
Phone (586) 737-7144
Other providers in Almont, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.