James Levant Dodge, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302019843 Issued in MI

Practice address

1218 N State St
Gladwin, MI 48624-1246

Phone

(989) 426-1170

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669507281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 W RIVER DR",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486247930",
            "telephone_number": "989-426-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 N STATE ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241246",
            "telephone_number": "989-426-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "JAMES",
        "middle_name": "LEVANT",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302019843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Desloover, L.P.N
• Mikala Devine
• Erika Dianis, PSYD
• Tameron Diehl
• Penny Sue Doane
• Nancy C Dodge, PT
• Katrina Mae Doud, BCBA, LBA
• Renee Dyer, LLMSW
• Sally Easton
• Heather A Edgar, RN

• Pharmacist in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.