Active NPI
Richard E Amenta, PHARMD
- Pharmacist
- Shelby TWP, MI
National Provider Identifier
1770703233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302022676
- Practice address
- 13500 22 Mile Rd
Shelby TWP, MI 48315-4294 - Phone
- (586) 997-2050
- Fax
- (586) 997-2053
- NPI assigned
- Apr 26, 2007
- Last updated
- Dec 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302022676 | MI | Primary |
Addresses
Primary practice location
13500 22 Mile Rd
Shelby TWP, MI 48315-4294
Mailing address
11037 Mason Dr
Sterling Heights, MI 48312-1964
Phone (586) 997-2050
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 |
|---|---|---|---|
| 5302022676 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1770703233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11037 MASON DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483121964",
"telephone_number": "586-997-2050",
"fax_number": "586-997-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13500 22 MILE RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483154294",
"telephone_number": "586-997-2050",
"fax_number": "586-997-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMENTA",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302022676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.