Individual provider Active NPI

Anthony Gerard Totoraitis, R.PH.

  • Pharmacist
  • Grand Rapids, MI
National Provider Identifier
1902105257
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302029165 Issued in MI
Practice address
2435 Foster Ave NE
Grand Rapids, MI 49505-3649
Phone
(616) 204-9880
NPI assigned
Mar 24, 2011
Last updated
Mar 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302029165 MI Primary
Pharmacist 183500000X 113523 MN

Addresses

Primary practice location

2435 Foster Ave NE
Grand Rapids, MI 49505-3649

Mailing address

9377 Cherry Valley Ave SE
Rite-Aid #1532
Caledonia, MI 49316-8420
Phone (616) 891-1256

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
5302029165MIMDPharmacist
113523MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Michigan Inc Past Accepting new patients

Organizations & group practices 1

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": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1902105257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 CHERRY VALLEY AVE SE",
            "address_2": "RITE-AID #1532",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168420",
            "telephone_number": "616-891-1256",
            "fax_number": "616-891-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 FOSTER AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053649",
            "telephone_number": "616-204-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTORAITIS",
        "first_name": "ANTHONY",
        "middle_name": "GERARD",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302029165",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "113523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.