Terry Doxey Jr., RPH
Individual provider Active NPI Pharmacist · Manistee, MI
NPI 1417619933 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1417619933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302413567 (MI)
- Practice address
- 15 Caberfae Hwy
Manistee, MI 49660-1109 - Phone
- (231) 887-5210
- NPI assigned
- Oct 12, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302413567 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302413567 | MI | Yes |
Addresses
Primary practice location
15 Caberfae Hwy
Manistee, MI 49660-1109
Mailing address
15 Caberfae Hwy
Manistee, MI 49660-1109
Phone (231) 887-5210
Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.