Active NPI
Michael A Patti, PHARMD
- Geriatric Pharmacist
- Pontiac, MI
National Provider Identifier
1336815547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 5302413616
- Practice address
- 823 Golf Dr
Pontiac, MI 48341-2354 - Phone
- (313) 600-6464
- NPI assigned
- Aug 18, 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 5302413616 | MI | Primary |
Addresses
Primary practice location
823 Golf Dr
Pontiac, MI 48341-2354
Mailing address
6751 W Dartmoor Rd
West Bloomfield, MI 48322-4320
Phone (336) 413-2846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5315228364 | Other | MI | CONTROLLED SUBSTANCE LICENSE |
| 5302413616 | Other | MI | PHARMACIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Michael.Patti@pacesemi.org | Direct |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302413616 | MI | MD | Geriatric Pharmacist |
Interoperability endpoints
- michael.patti@pacesemi.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1336815547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6751 W DARTMOOR RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224320",
"telephone_number": "336-413-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 GOLF DR",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483412354",
"telephone_number": "313-600-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTI",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MI",
"license": "5302413616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE LICENSE",
"identifier": "5315228364",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "5302413616",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Michael.Patti@pacesemi.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "823 Golf Dr",
"city": "Pontiac",
"state": "MI",
"country_code": "US",
"postal_code": "483412354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.