Active NPI
Theresa Graves
- Pharmacy Technician
- Bloomfield Hills, MI
National Provider Identifier
1508233776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5303004631
- Practice address
- 1525 S Opdyke Rd
Bloomfield Hills, MI 48304-1042 - Phone
- (248) 333-0222
- NPI assigned
- Aug 24, 2015
- Last updated
- Aug 24, 2015
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303004631 | MI | Primary |
Addresses
Primary practice location
1525 S Opdyke Rd
Bloomfield Hills, MI 48304-1042
Mailing address
806 Bloomfield Village Blvd Apt H
Auburn Hills, MI 48326-3556
Phone (248) 821-4428
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 |
|---|---|---|---|
| 5303004631 | MI | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jby Inc | 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": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1508233776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 BLOOMFIELD VILLAGE BLVD APT H",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483263556",
"telephone_number": "248-821-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 S OPDYKE RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483041042",
"telephone_number": "248-333-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "THERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303004631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
- Morgan Goodman
- Max D Gottesman, O.D.
- Veena Govila
- Graceful Care Agency, Inc
- Corinne N Gratson, P.A.-C.
- Gray Chiropractic & Wellness Center
- Gray Chiropractic Services, P.C.
- Aaron Marc Gray II, D.C.
- Great Expression Dental Centers PA
- Great Expressions Dental Centers of Connecticut, PC (Great Expressions Dental Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.