Active NPI
Michael J Grawburg, RPH
- Pharmacist
- Mt. Clemens, MA
National Provider Identifier
1811084692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302023140
- Practice address
- 5 S. Groesbeck
Mt. Clemens, MA 48036 - Phone
- (586) 468-0978
- NPI assigned
- Oct 5, 2006
- 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 | 5302023140 | FM | Primary |
Addresses
Primary practice location
5 S. Groesbeck
Mt. Clemens, MA 48036
Mailing address
46455 Meadow Lane
Macomb, MI 48044
Phone (586) 263-5940
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302023140 | FM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Drug Stores Inc | Past | Accepting new patients | |
| Apex Drug Stores 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Mount Clemens, MI
- NPI 1376652834
-
- Community/Retail Pharmacy
- Farmington Hills, MI
- NPI 1932115235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811084692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46455 MEADOW LANE",
"city": "MACOMB",
"state": "MI",
"postal_code": "48044",
"telephone_number": "586-263-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 S. GROESBECK",
"city": "MT. CLEMENS",
"state": "MA",
"postal_code": "48036",
"telephone_number": "586-468-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAWBURG",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FM",
"license": "5302023140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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.