Active NPI
Todd James Miehlke, RPH
- Geriatric Pharmacist
- Okemos, MI
National Provider Identifier
1245669589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 411208
- Practice address
- 2055 W Grand River Ave
Okemos, MI 48864-1706 - Phone
- (517) 347-9133
- Fax
- (517) 347-9165
- NPI assigned
- Nov 7, 2013
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 411208 | MI | Primary |
Addresses
Primary practice location
2055 W Grand River Ave
Okemos, MI 48864-1706
Mailing address
15023 Duxbury LN
Lansing, MI 48906-9321
Phone (517) 290-3138
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 |
|---|---|---|---|
| 411208 | MI | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1245669589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15023 DUXBURY LN",
"city": "LANSING",
"state": "MI",
"postal_code": "489069321",
"telephone_number": "517-290-3138",
"fax_number": "517-347-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 W GRAND RIVER AVE",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488641706",
"telephone_number": "517-347-9133",
"fax_number": "517-347-9165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIEHLKE",
"first_name": "TODD",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MI",
"license": "411208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.