Active NPI
Prachi J Raval
- Pharmacist
- Rochester Hills, MI
National Provider Identifier
1376174060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302043283
- Practice address
- 2011 S Rochester Rd
Rochester Hills, MI 48307-3857 - Phone
- (248) 844-2559
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- 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 | 5302043283 | MI | Primary |
Addresses
Primary practice location
2011 S Rochester Rd
Rochester Hills, MI 48307-3857
Mailing address
18157 Canvasback Dr
Clinton Township, MI 48038-1188
Phone (586) 996-8779
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302043283 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1376174060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18157 CANVASBACK DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381188",
"telephone_number": "586-996-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 S ROCHESTER RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073857",
"telephone_number": "248-844-2559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVAL",
"first_name": "PRACHI",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302043283",
"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 31, 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.