Active NPI
Tonino F Michienzi, RPH
- Pharmacist
- Wyoming, MI
National Provider Identifier
1508818683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027969
- Practice address
- 2829 S Division Ave
Wyoming, MI 49548-1152 - Phone
- (616) 248-9030
- NPI assigned
- May 16, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 | 5302027969 | MI | Primary |
Addresses
Primary practice location
2829 S Division Ave
Wyoming, MI 49548-1152
Mailing address
7774 Park Ridge Dr SW
Jenison, MI 49428-9158
Phone (616) 828-7557
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 |
|---|---|---|---|
| 5302027969 | 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": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508818683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7774 PARK RIDGE DR SW",
"city": "JENISON",
"state": "MI",
"postal_code": "494289158",
"telephone_number": "616-828-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 S DIVISION AVE",
"city": "WYOMING",
"state": "MI",
"postal_code": "495481152",
"telephone_number": "616-248-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHIENZI",
"first_name": "TONINO",
"middle_name": "F",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyoming, MI
- Metropolitan Hospital (Metro Health Hospital)
- Joseph Christopher Metzger Jr., MD
- Michael H. Vanderveen DDS PC
- Karen Renee Michaud, AU.D.
- Kayla Micheau
- Michigan Chiropractic and Neuropathy Center
- Michigan Medical Patient Care
- Michigan Obstetrics and Gynecology PC
- Midwest Family Medicine PC
- Yazan Migdady, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.