Individual provider Active NPI

Joshua Ronald Staffeld, PHARMD

  • Pharmacist
  • Tecumseh, MI
National Provider Identifier
1154897304
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302044208 Issued in MI
Practice address
1330 W Chicago Blvd
Tecumseh, MI 49286-9769
Phone
(517) 423-3560
NPI assigned
Oct 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302044208 MI Primary

Addresses

Primary practice location

1330 W Chicago Blvd
Tecumseh, MI 49286-9769

Mailing address

1111 Yensch Rd
Dundee, MI 48131-9747
Phone (734) 430-1740

Other identifiers 1

IdentifierTypeStateIssuer
5302044208OtherMIMICHIGAN PERMANENT ID #

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
5302044208MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Apr 10, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1154897304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 YENSCH RD",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481319747",
            "telephone_number": "734-430-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W CHICAGO BLVD",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492869769",
            "telephone_number": "517-423-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFELD",
        "first_name": "JOSHUA",
        "middle_name": "RONALD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302044208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN PERMANENT ID #",
            "identifier": "5302044208",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.