Joshua Wiitanen, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

5302039510 Issued in MI

Practice address

66900 Gratiot Ave
Richmond, MI 48062-1913

Phone

(586) 727-4946

Fax

(586) 727-4946

NPI assigned

Nov 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Kroger Co of Michigan

  • Community/Retail Pharmacy
  • Fenton, MI
  • NPI 1326917394
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1659917904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48188 PRIMROSE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442330",
            "telephone_number": "586-246-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66900 GRATIOT AVE",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621913",
            "telephone_number": "586-727-4946",
            "fax_number": "586-727-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIITANEN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039510",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302039510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Webster, CPRC
• Samuel P Weiner, D.D.S.
• Wellmetry Health, LLC
• Robert K. Wesley, D.D.S.
• Jade Whiting
• Tahson Winters, CCAR
• Alivia Wood
• Woodward Detroit CVS, L.L.C.
• Krystle Kathleen Wright-Loveless
• Meredith Sue Wright, LLMSW, CAADC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Richmond, MI
• Providers in Richmond, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.