Individual provider Active NPI

Mary Venetta Rothermal, PHARMD

  • Pharmacist
  • Clinton, MI
National Provider Identifier
1871022830
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302041547 Issued in MI
Practice address
140 W Michigan Ave
Clinton, MI 49236-9577
Phone
(517) 456-4150
NPI assigned
Jun 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302041547 MI Primary

Addresses

Primary practice location

140 W Michigan Ave
Clinton, MI 49236-9577

Mailing address

140 W Michigan Ave
Clinton, MI 49236-9577
Phone (517) 456-4150

Other practice location 1

177 W Brooke Ln
Blissfield, MI 49228-8601
Phone (517) 486-2145

Other practice location 2

120 E Chicago Blvd
Tecumseh, MI 49286-1587
Phone (517) 423-3870

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
5302041547MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Schmidt & Sons Pharmacy of Blissfield LLC Past Accepting new patients
Schmidt & Sons Pharmacy of Tecumseh, Inc Past Accepting new patients
Schmidt & Sons Pharmacy of Tecumseh, Inc PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 3

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871022830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W MICHIGAN AVE",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492369577",
            "telephone_number": "517-456-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MICHIGAN AVE",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492369577",
            "telephone_number": "517-456-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 W Brooke Ln",
            "address_purpose": "LOCATION",
            "city": "Blissfield",
            "state": "MI",
            "postal_code": "492288601",
            "country_code": "US",
            "telephone_number": "517-486-2145",
            "fax_number": "517-486-2456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 E Chicago Blvd",
            "address_purpose": "LOCATION",
            "city": "Tecumseh",
            "state": "MI",
            "postal_code": "492861587",
            "country_code": "US",
            "telephone_number": "517-423-3870",
            "fax_number": "517-423-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHERMAL",
        "first_name": "MARY",
        "middle_name": "VENETTA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302041547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.