Active NPI
Mary Ann Frazier, RPH.
- Pharmacist
- Detroit, MI
National Provider Identifier
1609068279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302024153
- Practice address
- 14525 Mack Ave
Suite a
Detroit, MI 48215-2520 - Phone
- (313) 881-2890
- Fax
- (313) 881-3124
- NPI assigned
- Aug 16, 2007
- Last updated
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 5302024153 | MI | Primary |
Addresses
Primary practice location
14525 Mack Ave
Suite a
Detroit, MI 48215-2520
Mailing address
14525 Mack Ave
Suite a
Detroit, MI 48215-2520
Phone (313) 881-2890
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 |
|---|---|---|---|
| 5302024153 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & D Pharmacy Inc. | Current | Accepting new patients |
Locations
14525 Mack Ave
Detroit, MI 48215
Phone (248) 480-5880
14525 Mack Ave
Ste A
Detroit, MI 48215
Phone (313) 881-2890
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": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1609068279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14525 MACK AVE",
"address_2": "SUITE A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482152520",
"telephone_number": "313-881-2890",
"fax_number": "313-881-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14525 MACK AVE",
"address_2": "SUITE A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482152520",
"telephone_number": "313-881-2890",
"fax_number": "313-881-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302024153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.