Active NPI
Michele Walny
- Pharmacist
- Chesterfield, MI
National Provider Identifier
1649585779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302030909
- Practice address
- 50290 Gratiot Ave
Chesterfield, MI 48051-4003 - Phone
- (586) 949-6110
- Fax
- (586) 949-6112
- NPI assigned
- Aug 12, 2010
- 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 | 5302030909 | MI | Primary |
Addresses
Primary practice location
50290 Gratiot Ave
Chesterfield, MI 48051-4003
Mailing address
50290 Gratiot Ave
Chesterfield, MI 48051-4003
Phone (586) 949-6110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302030909 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry Drug Stores Inc and Subsidiaries | 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.
-
- Community/Retail Pharmacy
- Chesterfield, MI
- NPI 1063435634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1649585779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50290 GRATIOT AVE",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480514003",
"telephone_number": "586-949-6110",
"fax_number": "586-949-6112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50290 GRATIOT AVE",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480514003",
"telephone_number": "586-949-6110",
"fax_number": "586-949-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALNY",
"first_name": "MICHELE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302030909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.