Individual provider Active NPI

Steven M Rapaich

  • Pharmacist
  • Davison, MI
National Provider Identifier
1811289440
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302023108 Issued in MI
Practice address
841 S State Rd
Davison, MI 48423-1751
Phone
(810) 653-7485
Fax
(810) 658-9535
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302023108 MI Primary

Addresses

Primary practice location

841 S State Rd
Davison, MI 48423-1751

Mailing address

841 S State Rd
Davison, MI 48423-1751

Other identifiers 1

IdentifierTypeStateIssuer
5302023108OtherMIAN INDIVIDUAL WHO RENDERS HEALTH CARE

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

State licenses

LicenseStateTypeSpecialty
5302023108MIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1811289440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 S STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 S STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231751",
            "telephone_number": "810-653-7485",
            "fax_number": "810-658-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPAICH",
        "first_name": "STEVEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302023108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AN INDIVIDUAL WHO RENDERS HEALTH CARE",
            "identifier": "5302023108",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.