Active NPI
Terry Delavan Sipes, RPH
- Pharmacist
- Ferndale, MI
National Provider Identifier
1609548353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302026827
- Practice address
- 20727 Wyoming St
Ferndale, MI 48220-2141 - Phone
- (248) 566-0116
- Fax
- (248) 566-0117
- NPI assigned
- Oct 1, 2021
- Last updated
- Oct 1, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 5302026827 | MI | Primary |
Addresses
Primary practice location
20727 Wyoming St
Ferndale, MI 48220-2141
Mailing address
8339 Lincoln Dr
Huntington Woods, MI 48070-1628
Phone (248) 345-7285
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 |
|---|---|---|---|
| 5302026827 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Royals Pharmacy LLC | Past | 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, 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": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1609548353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8339 LINCOLN DR",
"city": "HUNTINGTON WOODS",
"state": "MI",
"postal_code": "480701628",
"telephone_number": "248-345-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20727 WYOMING ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202141",
"telephone_number": "248-566-0116",
"fax_number": "248-566-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPES",
"first_name": "TERRY",
"middle_name": "DELAVAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302026827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, MI
- Yasmin Shkoukani
- Sibera Troy Brannon DDS (Dental Care Institute)
- Silver Linings: Integrative Care, PLLC (Silver Linings: Integrative Care)
- Emily Silver, IBCLC
- Annamaria Silveri, PHD, LP, RN, LPC
- Nicholas Sirbu
- Jeffrey Skop Jr., DPT
- Cham Smadi
- Smendik Psychological Services (Indigo Psychological Services)
- Kylie Dakota Smith-Poisson, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.