Active NPI
Rachael Kaiponen
- Pharmacist
- Bay City, MI
National Provider Identifier
1659857795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302042727
- Practice address
- 4 Columbus Ave Ste 145
Bay City, MI 48708-6457 - Phone
- (989) 607-9007
- Fax
- (989) 607-9008
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 5302042727 | MI | Primary |
Addresses
Primary practice location
4 Columbus Ave Ste 145
Bay City, MI 48708-6457
Mailing address
5280 N US Highway 23
Oscoda, MI 48750-9560
Other practice location 1
5280 N US Highway 23
Oscoda, MI 48750-9560
Phone (989) 739-4255
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 |
|---|---|---|---|
| 5302042727 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay City RX LLC | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Organizations & group practices 3
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
- Bay City, MI
- NPI 1639652415
-
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
- Community/Retail Pharmacy
- Oscoda, MI
- NPI 1801905369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1659857795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5280 N US HIGHWAY 23",
"city": "OSCODA",
"state": "MI",
"postal_code": "487509560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 COLUMBUS AVE STE 145",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487086457",
"telephone_number": "989-607-9007",
"fax_number": "989-607-9008"
}
],
"practiceLocations": [
{
"address_1": "5280 N US Highway 23",
"address_purpose": "LOCATION",
"city": "Oscoda",
"state": "MI",
"postal_code": "487509560",
"country_code": "US",
"telephone_number": "989-739-4255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAIPONEN",
"first_name": "RACHAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302042727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.