Individual provider Active NPI

Terrence Lee Krumbach, RPH

  • Pharmacist
  • Mio, MI
National Provider Identifier
1831480490
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302024959 Issued in MI
Practice address
101 South Morenci
Rite Aid Discount Pharmacy #1715
Mio, MI 48647
Phone
(989) 826-3737
Fax
(989) 826-8967
NPI assigned
Apr 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 5302024959 MI Primary

Addresses

Primary practice location

101 South Morenci
Rite Aid Discount Pharmacy #1715
Mio, MI 48647

Mailing address

4174 E Quick Rd
Lincoln, MI 48742-9726
Phone (989) 619-3161

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

LicenseStateTypeSpecialty
5302024959MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Michigan Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1831480490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 E QUICK RD",
            "city": "LINCOLN",
            "state": "MI",
            "postal_code": "487429726",
            "telephone_number": "989-619-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH MORENCI",
            "address_2": "RITE AID DISCOUNT PHARMACY #1715",
            "city": "MIO",
            "state": "MI",
            "postal_code": "48647",
            "telephone_number": "989-826-3737",
            "fax_number": "989-826-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMBACH",
        "first_name": "TERRENCE",
        "middle_name": "LEE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302024959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.