Individual provider Active NPI

Cassandra Marie Smith

  • Pharmacy Technician
  • Lansing, MI
National Provider Identifier
1477221927
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5303010402 Issued in MI
Practice address
1004 E Michigan Ave
Lansing, MI 48912-1809
Phone
(517) 485-4381
Fax
(517) 485-0831
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5303010402 MI Primary

Addresses

Primary practice location

1004 E Michigan Ave
Lansing, MI 48912-1809

Mailing address

1004 E Michigan Ave
Lansing, MI 48912-1809
Phone (517) 485-4381

Other identifiers 1

IdentifierTypeStateIssuer
5303010402OtherMITECHNICIAN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.riteaid.com Health Information Exchange (HIE) RITE AID OF MICHIGAN INC

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

State licenses

LicenseStateTypeSpecialty
5303010402MIMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1477221927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121809",
            "telephone_number": "517-485-4381",
            "fax_number": "517-485-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121809",
            "telephone_number": "517-485-4381",
            "fax_number": "517-485-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303010402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TECHNICIAN LICENSE",
            "identifier": "5303010402",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.riteaid.com",
            "affiliation": "Y",
            "endpointDescription": "website access",
            "affiliationName": "RITE AID OF MICHIGAN INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1004 E Michigan Ave",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489121809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.