NPIMap

Organization Active NPI

St. John Detroit Riverview Outpatient Pharmacy

  • Pharmacist
  • Clinton Township, MI
National Provider Identifier
1639254097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5301008224 Issued in MI
Legal business name
ST. JOHN DETROIT RIVERVIEW OUTPATIENT PHARMACY
Practice address
43750 Garfield Rd
Suite 100
Clinton Township, MI 48038-1135
Phone
(586) 228-4588
Fax
(586) 228-4595
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Frank Ackley, RPH
Title
Pharmacy Director
Phone
58622845891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5301008224 MI Primary

Addresses

Primary practice location

43750 Garfield Rd
Suite 100
Clinton Township, MI 48038-1135

Mailing address

7815 E Jefferson Ave
Detroit, MI 48214-3704
Phone (313) 499-4640

National Provider Directory

National Provider Directory
Tax ID family
St John Macomb Oakland Hospital36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations

43750 Garfield Rd
Ste 100
Clinton Township, MI 48038
Phone (586) 228-4590

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639254097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143704",
            "telephone_number": "313-499-4640",
            "fax_number": "313-824-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43750 GARFIELD RD",
            "address_2": "SUITE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381135",
            "telephone_number": "586-228-4588",
            "fax_number": "586-228-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN DETROIT RIVERVIEW OUTPATIENT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACKLEY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "58622845891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5301008224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.