Individual provider Active NPI

Brenda Lee Ross

  • Ambulatory Care Pharmacist
  • Rochester Hills, MI
National Provider Identifier
1346871019
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
5302036755 Issued in MI
Practice address
295 S Livernois Rd
Rochester Hills, MI 48307-1838
Phone
(248) 656-8200
Fax
(248) 656-3733
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P2201X 5302036755 MI Primary

Addresses

Primary practice location

295 S Livernois Rd
Rochester Hills, MI 48307-1838

Mailing address

295 S Livernois Rd
Rochester Hills, MI 48307-1838
Phone (248) 656-8200

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

State licenses

LicenseStateTypeSpecialty
5302036755MIMDAmbulatory Care Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1346871019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S LIVERNOIS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071838",
            "telephone_number": "248-656-8200",
            "fax_number": "248-656-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S LIVERNOIS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071838",
            "telephone_number": "248-656-8200",
            "fax_number": "248-656-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MI",
            "license": "5302036755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.