Active NPI
Samantha Marie Michelini
- Pharmacist
- Warren, MI
National Provider Identifier
1497491674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5351016314
- Practice address
- 22950 Van Dyke Ave
Warren, MI 48089-2346 - Phone
- (586) 759-1391
- NPI assigned
- May 10, 2022
- Last updated
- May 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 5351016314 | MI | Primary |
Addresses
Primary practice location
22950 Van Dyke Ave
Warren, MI 48089-2346
Mailing address
22950 Van Dyke Ave
Warren, MI 48089-2346
Phone (586) 759-1391
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5351016314 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1497491674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22950 VAN DYKE AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "480892346",
"telephone_number": "586-759-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22950 VAN DYKE AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "480892346",
"telephone_number": "586-759-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELINI",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-10",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5351016314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
- Mian, Inc (Amplifon Hearing Aid Center)
- Michael J Herringshaw DDS (Unique Smiles Dental)
- Sophie Michalak, LLMSW
- Gullan Saeed Michel
- Jean-Luc Michel, MD
- Michigan Adult & Child Medicine
- Michigan Advanced Orthopedics
- Michigan Advanced Surgical Center, PLLC
- Michigan Center for Fertility and Womens Health, PLC
- Michigan Center for Hematology and Oncology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.