Active NPI
Paula Spear, PHARM.D, RPH
- Pharmacotherapy Pharmacist
- Roseville, MI
National Provider Identifier
1790195329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 5302032063
- Practice address
- 30800 Little Mack Ave
Roseville, MI 48066-1700 - Phone
- (586) 415-6164
- Fax
- (586) 415-6165
- NPI assigned
- May 5, 2014
- Last updated
- May 5, 2014
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 5302032063 | MI | Primary |
Addresses
Primary practice location
30800 Little Mack Ave
Roseville, MI 48066-1700
Mailing address
13546 Mair Dr
Sterling Heights, MI 48313-2653
Phone (586) 665-1672
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302032063 | MI | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Inc | Past | Accepting new patients | |
| Meijer Inc | Past | Accepting new patients |
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, 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": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1790195329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13546 MAIR DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483132653",
"telephone_number": "586-665-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30800 LITTLE MACK AVE",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480661700",
"telephone_number": "586-415-6164",
"fax_number": "586-415-6165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAR",
"first_name": "PAULA",
"name_prefix": "Mrs.",
"credential": "PHARM.D, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MI",
"license": "5302032063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.