Individual provider Active NPI

John E Ayre Sr., B.S. PHARMACY

  • Pharmacist
  • Vassar, MI
National Provider Identifier
1679872279
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19568 Issued in MI
Practice address
512 Goodrich St
Vassar, MI 48768-9205
Phone
(989) 823-2391
Fax
(989) 823-3332
NPI assigned
Mar 22, 2011
Last updated
Mar 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19568 MI Primary

Addresses

Primary practice location

512 Goodrich St
Vassar, MI 48768-9205

Mailing address

512 Goodrich St
Vassar, MI 48768-9205
Phone (989) 823-2391

Other identifiers 1

IdentifierTypeStateIssuer
7367213OtherMIJEARX4151

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
19568MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Michigan Inc Past Accepting new patients
Rite Aid of Michigan Inc PastSince Mar 9, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1679872279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 GOODRICH ST",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689205",
            "telephone_number": "989-823-2391",
            "fax_number": "989-823-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 GOODRICH ST",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689205",
            "telephone_number": "989-823-2391",
            "fax_number": "989-823-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRE",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "B.S. PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "19568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JEARX4151",
            "identifier": "7367213",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vassar, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.