Individual provider Active NPI

Joelle Hodroj

  • Pharmacist
  • Fraser, MI
National Provider Identifier
1558070938
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5351016379 Issued in MI
Practice address
31100 Groesbeck Hwy
Fraser, MI 48026-3902
Phone
(586) 294-5729
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5351016379 MI Primary

Addresses

Primary practice location

31100 Groesbeck Hwy
Fraser, MI 48026-3902

Mailing address

31100 Groesbeck Hwy
Fraser, MI 48026-3902
Phone (586) 294-5729

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rxm.04255@store.walgreens.com WALGREEN CO

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
5351016379MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Nov 20, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1558070938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31100 GROESBECK HWY",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263902",
            "telephone_number": "586-294-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31100 GROESBECK HWY",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263902",
            "telephone_number": "586-294-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODROJ",
        "first_name": "JOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5351016379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rxm.04255@store.walgreens.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "WALGREEN CO",
            "address_1": "31100 Groesbeck Hwy",
            "city": "Fraser",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480263902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.