Teressa Annette Yordy
Individual provider Active NPI Pharmacy Technician · Ithaca, MI
NPI 1295308997 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1295308997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 5353001758 (MI)
- Practice address
- 1010 E Center St
Ithaca, MI 48847-1618 - Phone
- (989) 875-3380
- Fax
- (989) 875-2424
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5353001758 | MI | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past |
Accepting new patients | |
| Rite Aid of Michigan Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5353001758 | MI | Yes |
Addresses
Primary practice location
1010 E Center St
Ithaca, MI 48847-1618
Mailing address
309 N Elm St
Ithaca, MI 48847-1011
Phone (989) 875-3380
Other providers in Ithaca, MI
All providers in Ithaca, MI · Pharmacy Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.