Cathrine Ann Johannes, RPH.
Individual provider Active NPI Pharmacist · Goodrich, MI
NPI 1881004232 · NPPES record last updated Dec 10, 2015
Key facts
- NPI
- 1881004232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 530202585 (MI)
- Practice address
- 8191 S State Rd
Goodrich, MI 48438-9723 - Phone
- (810) 636-2979
- NPI assigned
- May 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 530202585 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmd Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 530202585 | MI | Yes |
Addresses
Primary practice location
8191 S State Rd
Goodrich, MI 48438-9723
Mailing address
8191 S State Rd
Goodrich, MI 48438-9723
Phone (810) 636-2979
Other providers in Goodrich, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.