Individual provider Active NPI

Wayne P. Conti, R.PH.

  • Pharmacist
  • Warren, MI
National Provider Identifier
1841380680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302021515 Issued in MI
Practice address
30834 Schoenherr Rd
Warren, MI 48088-6856
Phone
(586) 775-1221
Fax
(586) 775-6555
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302021515 MI Primary

Addresses

Primary practice location

30834 Schoenherr Rd
Warren, MI 48088-6856

Mailing address

6401 Little Creek Rd
Rochester Hills, MI 48306-3423
Phone (248) 651-7114

Other identifiers 1

IdentifierTypeStateIssuer
5302021515OtherMIPHARMACIST LICENSE NUMBE

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
5302021515MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling-Warren Pharmacy Past Accepting new patients
Sterling Warren Pharmacy 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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841380680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 LITTLE CREEK RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063423",
            "telephone_number": "248-651-7114",
            "fax_number": "586-775-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30834 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886856",
            "telephone_number": "586-775-1221",
            "fax_number": "586-775-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTI",
        "first_name": "WAYNE",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302021515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBE",
            "identifier": "5302021515",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

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.

Verify at the official NPI Registry.