Indispensable Health

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009416 Issued in MI

Legal business name

INDISPENSABLE HEALTH

Practice address

110 E Michigan Ave
Grass Lake, MI 49240-9680

Phone

(517) 522-4100

Fax

(517) 522-2000

NPI assigned

Sep 10, 2010

Organization subpart

No

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

Authorized official

Name

Todd R. RaehtzNPI 1154649127

Title

Owner

Phone

(866) 964-2638

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grass Lake Community Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Indispensable Health, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Ann Arbor, MI
  • NPI 1982690806

  4587939004

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd R. Raehtz, RPH

  • Pharmacist
  • Grass Lake, MI
  • NPI 1154649127
  NPD (past) Authorized official

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707523200000",
    "number": "1447567565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MICHIGAN AVE",
            "address_2": "P.O. BOX 842",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409680",
            "telephone_number": "517-522-4100",
            "fax_number": "866-661-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MICHIGAN AVE",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409680",
            "telephone_number": "517-522-4100",
            "fax_number": "517-522-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDISPENSABLE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "RAEHTZ",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-964-2638"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040372730",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grass Lake Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grass Lake Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aydrianne Elizabeth Hofschild, MT-BC
• Madison Holcomb, R.N.
• Holly Gist-Richer LMSW PLLC
• Patty J Hopkins, FNP
• Gregory P Humbracht, CRNA
• Indispensable Health
• Indispensable Health
• Sydney Lynn Irwin, MSN, APRN, FNP-C
• Jackson'S Preferred Rehab
• Jackson'S Preffered Rehab Care Inc

• All providers in Grass Lake, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.