Individual provider Active NPI

Elizabeth Anne Retz, RPH

  • Pharmacist
  • Saginaw, MI
National Provider Identifier
1588003149
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302039022 Issued in MI
Practice address
3340 Hospital Rd
Saginaw, MI 48603-9622
Phone
(989) 790-7700
NPI assigned
Jun 17, 2013
Last updated
Jun 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302039022 MI Primary

Addresses

Primary practice location

3340 Hospital Rd
Saginaw, MI 48603-9622

Mailing address

3002 Shreeve St
Midland, MI 48642-5065
Phone (989) 486-1861

Other identifiers 1

IdentifierTypeStateIssuer
5302039022OtherMIPHARMACIST

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
5302039022MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1588003149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 SHREEVE ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486425065",
            "telephone_number": "989-486-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-790-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZ",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "5302039022",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.