Active NPI
Crittenton Medical Pharmacy, Inc
- Community/Retail Pharmacy
- Rochester, MI
National Provider Identifier
1174657431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5315024981
- Legal business name
- CRITTENTON MEDICAL PHARMACY, INC
- Practice address
- 1135 W University Dr
Suite 105
Rochester, MI 48307-1871 - Phone
- (248) 650-2155
- Fax
- (248) 650-6026
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Natalie Carole Mariani, RPH, MS.
- Title
- Manager
- Phone
- (248) 650-2155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5315024981 | MI | Primary |
Addresses
Primary practice location
1135 W University Dr
Suite 105
Rochester, MI 48307-1871
Mailing address
1135 W University Dr
Suite 105
Rochester, MI 48307-1871
Phone (248) 650-2155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7034882 | Medicaid | MI |
Other names 2
- Henry Ford Pharmacy-Rochester
- Crittenton Medical Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230523002911 | MI | Part B Supplier - Pharmacy | 9931565553 | Practice locations: Rochester Hills, MI |
National Provider Directory
National Provider DirectoryLocations
1135 W University Dr
Ste 105
Rochester Hills, MI 48307
Phone (248) 650-2155
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rochester, MI
- NPI 1851811459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1174657431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 W UNIVERSITY DR",
"address_2": "SUITE 105",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071871",
"telephone_number": "248-650-2155",
"fax_number": "248-650-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 W UNIVERSITY DR",
"address_2": "SUITE 105",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071871",
"telephone_number": "248-650-2155",
"fax_number": "248-650-6026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITTENTON MEDICAL PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "MARIANI",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "CAROLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "248-650-2155",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH, MS."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5315024981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7034882",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Ford Pharmacy-Rochester",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Crittenton Medical Pharmacy",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.