Active NPI
Christian Vincent Riffert, PHARM.D., RPH
- Pharmacist
- Beaverton, MI
National Provider Identifier
1346329448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302034368
- Practice address
- 127 W Brown St
Beaverton, MI 48612-8119 - Phone
- (989) 435-7778
- Fax
- (989) 435-2581
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- 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 | 5302034368 | MI | Primary |
Addresses
Primary practice location
127 W Brown St
Beaverton, MI 48612-8119
Mailing address
3570 E Hurley Rd
Midland, MI 48642-9727
Phone (989) 839-0239
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302034368 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Beaverton Pharmacy Inc | 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.
-
dba Beaverton Pharmacy
- Community/Retail Pharmacy
- Beaverton, MI
- NPI 1497844047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346329448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 E HURLEY RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486429727",
"telephone_number": "989-839-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W BROWN ST",
"city": "BEAVERTON",
"state": "MI",
"postal_code": "486128119",
"telephone_number": "989-435-7778",
"fax_number": "989-435-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIFFERT",
"first_name": "CHRISTIAN",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "PHARM.D., RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, MI
- Mymichigan Medical Center Clare
- Mymichigan Medical Center Gladwin
- Mymichigan Medical Center Gladwin
- Kimberly Papst, MA, CCC-SLP
- Steven Woodward Picard, MD
- Robert Riffert, RPH
- Rite Aid of Michigan Inc (Rite Aid Pharmacy 02760)
- Ann Marie Roehrs, FNP
- Anna Marie Salinas, PHARMACY TECHNICIAN
- Candy Rene Simpson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.