Philip Mitin, RPH

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

5302022479 Issued in MI

Practice address

1350 W Lake Lansing Rd
East Lansing, MI 48823-1314

Phone

(517) 332-8851

Fax

(517) 333-3065

NPI assigned

May 2, 2014

Last updated

May 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meijer Inc

  dba Meijer Pharmacy #681

  • Community/Retail Pharmacy
  • Macomb, MI
  • NPI 1033833538
  NPD (past)
• Meijer Inc

  dba Meijer Pharmacy #052

  • Community/Retail Pharmacy
  • East Lansing, MI
  • NPI 1447390919
  NPD (past)

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1669882395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 WHITE OWL WAY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645206",
            "telephone_number": "517-347-1536",
            "fax_number": "517-333-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231314",
            "telephone_number": "517-332-8851",
            "fax_number": "517-333-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITIN",
        "first_name": "PHILIP",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302022479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford Kent Mitchell, M.D.
• Brandon John Mitchell, ATC
• Deshauna Mitchell, LPN
• Laura Mitchell, LMT
• Rose Marie Mitchell, MSW
• Subhashis Mitra, M.D.
• Brittany Moeller
• Sherif Mohamed
• Marla Sue Mohr, RPH
• Emma Mollitor

• Pharmacotherapy Pharmacist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Pharmacotherapy Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.