Individual provider Active NPI

Raymond J Emond, RPH

  • Pharmacist
  • Croswell, MI
National Provider Identifier
1568617199
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23488 Issued in MI
Practice address
57 N Howard Ave
Croswell, MI 48422-1222
Phone
(810) 679-3900
Fax
(810) 679-2364
NPI assigned
Nov 24, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23488 MI Primary

Addresses

Primary practice location

57 N Howard Ave
Croswell, MI 48422-1222

Mailing address

215 S Ridge St
Box 505
Port Sanilac, MI 48469-9704
Phone (810) 622-8320

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

LicenseStateTypeSpecialty
23488MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1568617199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S RIDGE ST",
            "address_2": "BOX 505",
            "city": "PORT SANILAC",
            "state": "MI",
            "postal_code": "484699704",
            "telephone_number": "810-622-8320",
            "fax_number": "810-679-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N HOWARD AVE",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "484221222",
            "telephone_number": "810-679-3900",
            "fax_number": "810-679-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMOND",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "23488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croswell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.