Active NPI
Rick Vestich, RPH
- Pharmacist
- Detroit, MI
National Provider Identifier
1235722885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027566
- Practice address
- 8367 E Jefferson Ave
Detroit, MI 48214-2730 - Phone
- (313) 925-7890
- NPI assigned
- Feb 15, 2021
- Last updated
- Feb 15, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 5302027566 | MI | Primary |
Addresses
Primary practice location
8367 E Jefferson Ave
Detroit, MI 48214-2730
Mailing address
8367 E Jefferson Ave
Detroit, MI 48214-2730
Phone (313) 925-7890
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027566 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson RX LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1235722885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8367 E JEFFERSON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142730",
"telephone_number": "313-925-7890",
"fax_number": "313-925-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8367 E JEFFERSON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142730",
"telephone_number": "313-925-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESTICH",
"first_name": "RICK",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
- Vernor Urgent Care PLLC
- Vernor Urgent Care PLLC
- Eric B Vertin, PHARMD
- Vesprini Chiropractic Life Center, PLLC
- Frank Luca Vesprini, D.C.
- Theresa Vettese, MD
- VHS Children's Hospital of Michigan (Children's Hospital of Michigan)
- VHS Children's Hospital of Michigan, Inc. (DMC Pharmacy CHM PSC)
- VHS Childrens Hospital of Michigan Inc
- VHS Childrens Hospital of Michigan Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.