Active NPI
Joseph Vannoy, PHARMD
- Pharmacist
- Warren, MI
National Provider Identifier
1780179226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302037466
- Practice address
- 13201 Stephens Rd
Warren, MI 48089-4340 - Phone
- (877) 899-6337
- Fax
- (877) 899-6360
- NPI assigned
- Jun 27, 2018
- Sex
- Male
- 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 | 5302037466 | MI | Primary |
Addresses
Primary practice location
13201 Stephens Rd
Warren, MI 48089-4340
Mailing address
4119 W 13 Mile Rd
Royal Oak, MI 48073-6655
Phone (248) 850-1802
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 |
|---|---|---|---|
| 5302037466 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Care Pharmacy LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Royal Oak, MI
- NPI 1407123953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1780179226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736655",
"telephone_number": "248-850-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13201 STEPHENS RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480894340",
"telephone_number": "877-899-6337",
"fax_number": "877-899-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNOY",
"first_name": "JOSEPH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-27",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302037466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.