Active NPI
Madelyn Stimetz, RPH
- Pharmacist
- Westland, MI
National Provider Identifier
1457627713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302025405
- Practice address
- 31411 Cherry Hill Rd
Westland, MI 48186-5264 - Phone
- (734) 326-2990
- Fax
- (734) 728-4196
- NPI assigned
- Mar 30, 2012
- Last updated
- Jun 18, 2012
- 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 | 5302025405 | MI | Primary |
Addresses
Primary practice location
31411 Cherry Hill Rd
Westland, MI 48186-5264
Mailing address
35836 Smithfield CT
Farmington, MI 48335-3140
Phone (248) 474-1912
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302025405 | 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": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1457627713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35836 SMITHFIELD CT",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483353140",
"telephone_number": "248-474-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31411 CHERRY HILL RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481865264",
"telephone_number": "734-326-2990",
"fax_number": "734-728-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIMETZ",
"first_name": "MADELYN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-30",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302025405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.