Active NPI
Dennis G Rennhack, PHARMACIST
- Pharmacist
- Stevensville, MI
National Provider Identifier
1821428871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302024066
- Practice address
- 5019 Red Arrow Hwy
Stevensville, MI 49127-1013 - Phone
- (269) 556-2410
- Fax
- (269) 556-2465
- NPI assigned
- Nov 12, 2013
- Last updated
- Nov 12, 2013
- 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 | 5302024066 | MI | Primary |
Addresses
Primary practice location
5019 Red Arrow Hwy
Stevensville, MI 49127-1013
Mailing address
5019 Red Arrow Hwy
Stevensville, MI 49127-1013
Phone (269) 556-2410
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302024066 | MI | MD | 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": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384214400000",
"number": "1821428871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5019 RED ARROW HWY",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491271013",
"telephone_number": "269-556-2410",
"fax_number": "269-556-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5019 RED ARROW HWY",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491271013",
"telephone_number": "269-556-2410",
"fax_number": "269-556-2465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNHACK",
"first_name": "DENNIS",
"middle_name": "G",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-12",
"last_updated": "2013-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302024066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevensville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.