Individual provider Active NPI

Eric John Nagel, PHARMD

  • Pharmacist
  • Monroe, MI
National Provider Identifier
1144974650
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302035497 Issued in MI
Practice address
1704 S Custer Rd
Monroe, MI 48161-1622
Phone
(734) 243-5451
Fax
(734) 243-4354
NPI assigned
Feb 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302035497 MI Primary

Addresses

Primary practice location

1704 S Custer Rd
Monroe, MI 48161-1622

Mailing address

5060 Tanager Dr
Monroe, MI 48161-9645
Phone (734) 735-2069

Other practice location 1

1036 N Monroe St
Monroe, MI 48162-3113
Phone (734) 384-7044

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302035497MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Yinger Pharmacy Shoppe Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1144974650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 TANAGER DR",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619645",
            "telephone_number": "734-735-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611622",
            "telephone_number": "734-243-5451",
            "fax_number": "734-243-4354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481623113",
            "country_code": "US",
            "telephone_number": "734-384-7044",
            "fax_number": "734-384-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302035497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.