Individual provider Active NPI

Rebecca McInerney-Logan, RPH

  • Pharmacist
  • Imlay City, MI
National Provider Identifier
1831641968
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302033319 Issued in MI
Practice address
557 N Cedar St
Imlay City, MI 48444-1165
Phone
(810) 724-0576
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302033319 MI Primary

Addresses

Primary practice location

557 N Cedar St
Imlay City, MI 48444-1165

Mailing address

557 N Cedar St
Imlay City, MI 48444-1165
Phone (810) 724-0576

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
5302033319MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Drug Stores Inc and Subsidiaries Past Accepting new patients
Perry Drug Stores Inc and Subsidiaries 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.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1831641968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 N CEDAR ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484441165",
            "telephone_number": "810-724-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 N CEDAR ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484441165",
            "telephone_number": "810-724-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINERNEY-LOGAN",
        "first_name": "REBECCA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imlay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.