Active NPI
Barbara Jane Petroff, RPH
- Pharmacist
- Wixom, MI
National Provider Identifier
1639377922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302020294
- Practice address
- 46998 Magellan
Suite 300
Wixom, MI 48393-4727 - Phone
- (248) 960-8095
- Fax
- (248) 960-9172
- NPI assigned
- Jul 7, 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 | 5302020294 | MI | Primary |
Addresses
Primary practice location
46998 Magellan
Suite 300
Wixom, MI 48393-4727
Mailing address
15426 Alpine Dr
Livonia, MI 48154-2636
Phone (734) 464-7182
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 |
|---|---|---|---|
| 5302020294 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critical Care Systems, 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639377922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15426 ALPINE DR",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481542636",
"telephone_number": "734-464-7182",
"fax_number": "248-960-9172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46998 MAGELLAN",
"address_2": "SUITE 300",
"city": "WIXOM",
"state": "MI",
"postal_code": "483934727",
"telephone_number": "248-960-8095",
"fax_number": "248-960-9172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROFF",
"first_name": "BARBARA",
"middle_name": "JANE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302020294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wixom, MI
- Lorelei Papke, RN
- Papnez PLLC (Loon Lake Primary Care)
- Komal S Patel, DDS
- Sheel Vipul Patel, FNP-BC
- Amanda K Peters
- Phree Space Inc
- Pillpack LLC (Amazon Pharmacy #012)
- Plagens Medical Supply Consultants (Plagens Medical Consultants)
- Plymouth Physical Therapy Specialists Limited Partnership
- Positive Reflections Empowerment Center
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.