NPIMap

Organization Active NPI

Sparrow Clinton Hospital

  • Community/Retail Pharmacy
  • Saint Johns, MI
National Provider Identifier
1861582611
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301002233 Issued in MI
Legal business name
SPARROW CLINTON HOSPITAL
Doing business as
University of Michigan Health-Sparrow Clinton Pharmacy
Practice address
901 S Oakland St
Saint Johns, MI 48879-2200
Phone
(989) 224-8155
Fax
(989) 227-3343
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Danielle Rodewald, RPH
Title
Pharmacy Manager
Phone
(989) 227-3367

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301002233 MI Primary

Addresses

Primary practice location

901 S Oakland St
Saint Johns, MI 48879-2200

Mailing address

901 S Oakland St
Saint Johns, MI 48879-2200
Phone (989) 224-8155

Other identifiers 2

IdentifierTypeStateIssuer
2041767OtherPK
5170353MedicaidMI

Other names 1

  • University of Michigan Health-Sparrow Clinton Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1861582611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S OAKLAND ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792200",
            "telephone_number": "989-224-8155",
            "fax_number": "989-227-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S OAKLAND ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792200",
            "telephone_number": "989-224-8155",
            "fax_number": "989-227-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW CLINTON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "RODEWALD",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "989-227-3367",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301002233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2041767",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5170353",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Michigan Health-Sparrow Clinton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.