Active NPI
Andrew Albert Mure II, PHARMD
- Pharmacist
- Harrison Township, MI
National Provider Identifier
1376290981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414049
- Practice address
- 26220 Crocker Blvd
Harrison Township, MI 48045-2455 - Phone
- (586) 954-0800
- NPI assigned
- Mar 3, 2022
- Last updated
- Mar 3, 2022
- 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 | 5302414049 | MI | Primary |
Addresses
Primary practice location
26220 Crocker Blvd
Harrison Township, MI 48045-2455
Mailing address
47640 Milonas Dr
Shelby Township, MI 48315-5031
Phone (586) 945-2730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1221206944 | Medicaid | MI |
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 |
|---|---|---|---|
| 5302414049 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1376290981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47640 MILONAS DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483155031",
"telephone_number": "586-945-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26220 CROCKER BLVD",
"city": "HARRISON TOWNSHIP",
"state": "MI",
"postal_code": "480452455",
"telephone_number": "586-954-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURE",
"first_name": "ANDREW",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1221206944",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrison Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.