Active NPI
Marcelo M Couto, BPHARM, RPH
- Pharmacist
- Lansing, MI
National Provider Identifier
1629167184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302035486
- Practice address
- 921 W Holmes Rd
Pharmacy Dept.
Lansing, MI 48910-0439 - Phone
- (517) 393-7009
- Fax
- (517) 393-0635
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 5302035486 | MI | Primary |
Addresses
Primary practice location
921 W Holmes Rd
Pharmacy Dept.
Lansing, MI 48910-0439
Mailing address
4582 Sunset Dr
Potterville, MI 48876-8610
Phone (517) 645-2429
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 |
|---|---|---|---|
| 5302035486 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co of Michigan | Past | Accepting new patients | |
| Kroger Co of Michigan | Past | 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, 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": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629167184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4582 SUNSET DR",
"city": "POTTERVILLE",
"state": "MI",
"postal_code": "488768610",
"telephone_number": "517-645-2429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 W HOLMES RD",
"address_2": "PHARMACY DEPT.",
"city": "LANSING",
"state": "MI",
"postal_code": "489100439",
"telephone_number": "517-393-7009",
"fax_number": "517-393-0635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUTO",
"first_name": "MARCELO",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "BPHARM, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.