Organization Active NPI

Crittenton Medical Pharmacy, Inc

  • Community/Retail Pharmacy
  • Rochester, MI
National Provider Identifier
1174657431
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5315024981 Issued in MI
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

Updated by the provider on Nov 18, 2025

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.NPI 1851811459
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7034882MedicaidMI

Other names 2

  • Henry Ford Pharmacy-Rochester Doing business as
  • Crittenton Medical Pharmacy Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230523002911 MI Part B Supplier - Pharmacy 9931565553 Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.