Individual provider Active NPI

Christopher Edward Meny, R.PH.

  • Pharmacist
  • Southfield, MI
National Provider Identifier
1881648657
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302031399 Issued in MI
Practice address
100 Galleria Officentre
Suite 210
Southfield, MI 48034-4780
Phone
(248) 663-7370
Fax
(844) 214-2466
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.290624 IL
Pharmacist 183500000X 5302031399 MI Primary

Addresses

Primary practice location

100 Galleria Officentre
Suite 210
Southfield, MI 48034-4780

Mailing address

4000 Town Ctr Ste 1300
Southfield, MI 48075-1409
Phone (248) 663-7370

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051.290624ILMDPharmacist
5302031399MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1881648657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 TOWN CTR STE 1300",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751409",
            "telephone_number": "248-663-7370",
            "fax_number": "844-214-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GALLERIA OFFICENTRE",
            "address_2": "SUITE 210",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480344780",
            "telephone_number": "248-663-7370",
            "fax_number": "844-214-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENY",
        "first_name": "CHRISTOPHER",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.290624",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302031399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.