Michael Downey
Individual provider Active NPI Pharmacist · Wixom, MI
NPI 1679986608 · NPPES record last updated Jun 6, 2014
Key facts
- NPI
- 1679986608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302031064 (MI)
- Practice address
- 47300 Pontiac TRL
Wixom, MI 48393-2551 - Phone
- (248) 960-0352
- NPI assigned
- Jun 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302031064 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302031064 | MI | Yes |
Addresses
Primary practice location
47300 Pontiac TRL
Wixom, MI 48393-2551
Mailing address
6338 Winter Dr
Canton, MI 48187-3667
Phone (248) 960-0352
Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.