Spectra Med Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010104 Issued in MI

Legal business name

SPECTRA MED INC

Doing business as

Spectra Med Inc

Practice address

3160 Haggerty Rd Ste H
West Bloomfield, MI 48323-2001

Phone

(248) 669-5757

Fax

(248) 669-2090

NPI assigned

Aug 7, 2006

Last updated

Feb 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Stayer

Title

President

Phone

(248) 669-5757

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• SPECTRA MED INC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darlene Kay Button, DC, MAC

  • Acupuncturist
  • Plymouth, MI
  • NPI 1770626533
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1639188667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 HAGGERTY RD",
            "address_2": "STE H",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232000",
            "telephone_number": "248-669-5757",
            "fax_number": "248-669-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 HAGGERTY RD STE H",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232001",
            "telephone_number": "248-669-5757",
            "fax_number": "248-669-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRA MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "STAYER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-669-5757"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010104",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECTRA MED INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audriana Spadaro, PT
• Sparr Nutrition Services LLC
• Julie Spears
• Specialists in Pediatric Neurology PLLC
• Steven Spector, PHD
• Spectra Med Inc
• Walter Spencer, RPH
• Khalilla Spicer
• Lillie Ying Spilman
• Catherine Ann Spirko, LLMSW

• Community/Retail Pharmacy in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.