Thomas Paul Altenberger, R.PH, MBA

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

5302032992 Issued in MI

Practice address

3031 Poplar Creek Dr SE
Suite 103
Grand Rapids, MI 49512-5682

Phone

(616) 975-7590

Fax

(616) 975-7596

NPI assigned

Feb 27, 2011

Last updated

Feb 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Registered Pharmacist

State licenses

Practice roles

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.

• Cosalus Health PLLC

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Grand Rapids, MI
  • NPI 1003152752
  NPD (past)

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298764800000",
    "number": "1447557418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 POPLAR CREEK DR SE",
            "address_2": "SUITE 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125682",
            "telephone_number": "616-975-7590",
            "fax_number": "616-975-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 POPLAR CREEK DR SE",
            "address_2": "SUITE 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125682",
            "telephone_number": "616-975-7590",
            "fax_number": "616-975-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENBERGER",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "R.PH, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-27",
        "last_updated": "2011-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302032992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpine Family Podiatry PC
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• Insam Alsanai, OD
• James H Alt
• Jalyn Dreu Altemus, PA-C
• David N Alter, MD
• Alternative Medical Supplies LLC
• Alternative Pathways
• Mikayla Althoff
• Mark D Altman, PA-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2011; 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.