Individual provider Active NPI

Valerie Ann Prusaitis, PHARM.D.

  • Pharmacist
  • Clinton Township, MI
National Provider Identifier
1851685663
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302411091 Issued in MI
Practice address
33860 S Gratiot Ave
Clinton Township, MI 48035-6115
Phone
(586) 913-0294
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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 5302411091 MI Primary

Addresses

Primary practice location

33860 S Gratiot Ave
Clinton Township, MI 48035-6115

Mailing address

38044 Seaway CT
Harrison Township, MI 48045-2762
Phone (586) 556-8949

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302411091MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1851685663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38044 SEAWAY CT",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480452762",
            "telephone_number": "586-556-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33860 S GRATIOT AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480356115",
            "telephone_number": "586-913-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSAITIS",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302411091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.