Active NPI
Mary Venetta Rothermal, PHARMD
- Pharmacist
- Clinton, MI
National Provider Identifier
1871022830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041547
- Practice address
- 140 W Michigan Ave
Clinton, MI 49236-9577 - Phone
- (517) 456-4150
- NPI assigned
- Jun 5, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302041547 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Community/Retail Pharmacy
- Blissfield, MI
- NPI 1457346611
-
- Community/Retail Pharmacy
- Tecumseh, MI
- NPI 1750373502
-
- Long Term Care Pharmacy
- Tecumseh, MI
- NPI 1841868452
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.