Individual provider Active NPI

Joyce Starlite-Melody-Ella Winters

  • Pharmacy Technician
  • Warren, MI
National Provider Identifier
1578147369
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5303031477 Issued in MI
Practice address
4110 E 9 Mile Rd
Warren, MI 48091-2501
Phone
(586) 756-8070
NPI assigned
May 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5303031477 MI Primary

Addresses

Primary practice location

4110 E 9 Mile Rd
Warren, MI 48091-2501

Mailing address

4110 E 9 Mile Rd
Warren, MI 48091-2501
Phone (586) 756-8070

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
5303031477MIMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Drug Stores Inc and Subsidiaries PastSince May 16, 2021 Accepting new patients
Perry Drug Stores Inc and Subsidiaries PastSince May 16, 2021 Accepting new patients

Organizations & group practices 2

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": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1578147369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 E 9 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912501",
            "telephone_number": "586-756-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 E 9 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912501",
            "telephone_number": "586-756-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "JOYCE",
        "middle_name": "STARLITE-MELODY-ELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-08",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303031477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.