Active NPI
Christi Titi Sousouay
- Pharmacist
- Holland, MI
National Provider Identifier
1669244901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302415697
- Practice address
- 132 Douglas Ave
Holland, MI 49424-6514 - Phone
- (616) 396-2959
- NPI assigned
- Oct 30, 2023
- 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 | 5302415697 | MI | Primary |
Addresses
Primary practice location
132 Douglas Ave
Holland, MI 49424-6514
Mailing address
137 Depot LN
Holland, MI 49424-7404
Phone (616) 594-9184
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 |
|---|---|---|---|
| 5302415697 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, 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.
-
dba CVS Pharmacy # 10137
- Community/Retail Pharmacy
- Holland, MI
- NPI 1679822381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1669244901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 DEPOT LN",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494247404",
"telephone_number": "616-594-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 DOUGLAS AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494246514",
"telephone_number": "616-396-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUSOUAY",
"first_name": "CHRISTI",
"middle_name": "TITI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302415697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.