Individual provider Active NPI

Rachael Kaiponen

  • Pharmacist
  • Bay City, MI
National Provider Identifier
1659857795
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302042727 Issued in MI
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

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5302042727MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay City RX LLC PastSince Sep 20, 2020 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.

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.

Verify at the official NPI Registry.