Active NPI
Michael Steven Mindell, PHARMACIST
- Pharmacist
- Bloomfield Hills, MI
National Provider Identifier
1164630356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302022130
- Practice address
- 6510 Telegraph Rd
Bloomfield Hills, MI 48301-3011 - Phone
- (248) 626-2525
- Fax
- (248) 626-5183
- NPI assigned
- May 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302022130 | MI | Primary |
Addresses
Primary practice location
6510 Telegraph Rd
Bloomfield Hills, MI 48301-3011
Mailing address
7042 Indian Wells Dr
Ypsilanti, MI 48197-9510
Phone (734) 480-4103
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 |
|---|---|---|---|
| 5302022130 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164630356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7042 INDIAN WELLS DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481979510",
"telephone_number": "734-480-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 TELEGRAPH RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483013011",
"telephone_number": "248-626-2525",
"fax_number": "248-626-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINDELL",
"first_name": "MICHAEL",
"middle_name": "STEVEN",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302022130",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.