Individual provider Active NPI

Ronald Lamar Alexander, R.PH.

  • Pharmacist
  • Grand Blanc, MI
National Provider Identifier
1891802252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302021639 Issued in MI
Practice address
1235 Bush Creek Dr
Grand Blanc, MI 48439-1616
Phone
(810) 606-0370
Fax
(810) 732-9624
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

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
5302021639MIMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302021639 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1235 Bush Creek Dr
Grand Blanc, MI 48439-1616

Mailing address

1235 Bush Creek Dr
Grand Blanc, MI 48439-1616
Phone (810) 606-0370

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891802252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 BUSH CREEK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391616",
            "telephone_number": "810-606-0370",
            "fax_number": "810-732-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 BUSH CREEK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391616",
            "telephone_number": "810-606-0370",
            "fax_number": "810-732-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "RONALD",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302021639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.