Active NPI
Trinity Health - Michigan
Doing business as Trinity Health Pharmacy - Schoolcraft Campus
- Community/Retail Pharmacy
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- TRINITY HEALTH - MICHIGAN
- Doing business as
- Trinity Health Pharmacy - Schoolcraft Campus
- Practice address
- 19000 St. Joe's Parkway
Suite 120
Livonia, MI 48152 - Phone
- (734) 743-4646
- Fax
- (734) 743-4373
- NPI assigned
- Jun 2, 2021
- Last updated
- Sep 13, 2022
- 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
- Ariana Grace Raymond
- Title
- Manager, Provider Enrollment
- Phone
- (734) 343-1466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
19000 St. Joe's Parkway
Suite 120
Livonia, MI 48152
Mailing address
5333 McAuley Dr Ste R6106
Ypsilanti, MI 48197-1014
Phone (517) 420-4864
Other names 1
- Trinity Health Pharmacy - Schoolcraft Campus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200604002163 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618878943 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grand Rapids, MI; Howell, MI; Hudsonville, MI; Livonia, MI; Pontiac, MI; Rockford, MI; Ypsilanti, MI |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Trinity Health Pharmacy - Brighton
- Community/Retail Pharmacy
- Brighton, MI
- NPI 1205908092
O20200604002163
-
dba Trinity Health Pharmacy - Towers Ann Arbor
- Community/Retail Pharmacy
- Ann Arbor, MI
- NPI 1417029034
O20200604002163
-
dba Trinity Health Pharmacy - Reichert Center
- Community/Retail Pharmacy
- Ypsilanti, MI
- NPI 1588736375
O20200604002163
-
dba Mercy Health Pharmacy-Hudsonville
- Community/Retail Pharmacy
- Hudsonville, MI
- NPI 1700351657
O20200604002163
-
dba Trinity Health Pharmacy - Roosevelt Park
- Community/Retail Pharmacy
- Grand Rapids, MI
- NPI 1871205575
O20200604002163
-
dba Mercy Health Pharmacy - Rockford
- Community/Retail Pharmacy
- Rockford, MI
- NPI 1700260916
O20200604002163
-
dba Stjoseph Mercy Professional Pharmacy
- Community/Retail Pharmacy
- Pontiac, MI
- NPI 1922105287
O20200604002163
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2218590 | Trinity Health Medical Center - Schoolcraft Campus | Accreditation | Nov 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
5333 McAuley Dr
Ste R6106
Ypsilanti, MI 48197
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Livonia, MI
- NPI 1457132615
-
- Pharmacy Technician
- Livonia, MI
- NPI 1750154035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1306412184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR STE R6106",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971014",
"telephone_number": "517-420-4864",
"fax_number": "734-712-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19000 ST. JOE'S PARKWAY",
"address_2": "SUITE 120",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48152",
"telephone_number": "734-743-4646",
"fax_number": "734-743-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY HEALTH - MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-02",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "RAYMOND",
"authorized_official_first_name": "ARIANA",
"authorized_official_middle_name": "GRACE",
"authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "734-343-1466"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Health Pharmacy - Schoolcraft Campus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livonia, MI
- Tri-County Urologists P.C
- Brittany K Trigge
- Trinity 3 Enterprise Inc
- Trinity Continuing Care Service (Trinity Health Senior Communities)
- Trinity Continuing Care Services (Marycrest Manor)
- Trinity Health Academic Internal Medicine-Northwest Livonia
- Trinity Health-Michigan (Trinity Health Pharmacy - Livonia)
- Trinity Home Health Services
- Trinity Home Health Services (St. Joseph Mercy Hospice)
- Trinity Home Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.