Active NPI
Aubrey Jude Simot
- Pharmacist
- Grand Rapids, MI
National Provider Identifier
1710351861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041170
- Practice address
- 3258 Weatherford Dr NW
Apt 2B
Grand Rapids, MI 49544-6990 - Phone
- (616) 915-7803
- NPI assigned
- Nov 30, 2015
- Last updated
- Sep 24, 2016
- 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 | 5302041170 | MI | Primary |
Addresses
Primary practice location
3258 Weatherford Dr NW
Apt 2B
Grand Rapids, MI 49544-6990
Mailing address
3258 Weatherford Dr NW
Apt 2B
Grand Rapids, MI 49544-6990
Phone (616) 915-7803
Other names 1
- Ms. Aubrey Jude Powell
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 |
|---|---|---|---|
| 5302041170 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474675200000",
"number": "1710351861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3258 WEATHERFORD DR NW",
"address_2": "APT 2B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495446990",
"telephone_number": "616-915-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3258 WEATHERFORD DR NW",
"address_2": "APT 2B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495446990",
"telephone_number": "616-915-7803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMOT",
"first_name": "AUBREY",
"middle_name": "JUDE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-30",
"last_updated": "2016-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUBREY",
"last_name": "POWELL",
"middle_name": "JUDE",
"prefix": "MS.",
"credential": "PHARM,D,",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.