Annette Marie Minaudo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302026216 Issued in MI

Practice address

34899 Groesbeck Hwy
Clinton Township, MI 48035-3366

Phone

(586) 741-0105

Fax

(586) 741-0109

NPI assigned

Nov 3, 2011

Sex

Female

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

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Clinton Township, MI
  • NPI 1679588719
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1487930509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20855 NUCCI DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-307-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34899 GROESBECK HWY",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353366",
            "telephone_number": "586-741-0105",
            "fax_number": "586-741-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAUDO",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302026216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Miller I, BS
• Heather Elizabeth Miller, COTAL
• Mark Allen Miller, D.C.
• Stacey Lynne Miller, DPM
• Ashley Milton
• Mind & Beyond Home Help Care LLC
• Mindy Salzberg-Siegel DDS PC
• Faith Pauline Miner
• Heather Minicilli
• Minimal Invasive Surgery Center PLC

• Pharmacist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.