Active NPI
Rachel Louise Henegar, PHARM.D.
- Pharmacist
- Trenton, MI
National Provider Identifier
1720160161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302029023
- Practice address
- 3390 West Rd
Trenton, MI 48183-2323 - Phone
- (734) 676-6622
- Fax
- (734) 676-5725
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Trenton, MI
- NPI 1003924465
-
- Long Term Care Pharmacy
- Trenton, MI
- NPI 1164093878
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302029023 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walnut Associates I LLC | Past | Accepting new patients | |
| Walnut Associates I LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302029023 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3390 West Rd
Trenton, MI 48183-2323
Mailing address
21834 Tiffany Dr
Woodhaven, MI 48183-1649
Phone (734) 671-1076
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302029023 | Other | MI | PHARMACIST LICENSE NUMBER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720160161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21834 TIFFANY DR",
"city": "WOODHAVEN",
"state": "MI",
"postal_code": "481831649",
"telephone_number": "734-671-1076",
"fax_number": "734-676-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 WEST RD",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832323",
"telephone_number": "734-676-6622",
"fax_number": "734-676-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENEGAR",
"first_name": "RACHEL",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302029023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "5302029023",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MI
Sources for this page
- 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.