Active NPI
Rita Mary Senawe, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Lake Orion, MI
National Provider Identifier
1912291295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 5302033159
- Practice address
- 3097 S Baldwin Rd
Lake Orion, MI 48359-1028 - Phone
- (248) 393-4573
- Fax
- (248) 393-4583
- NPI assigned
- Jun 4, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302033159 | MI | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302033159 | MI | Primary |
Addresses
Primary practice location
3097 S Baldwin Rd
Lake Orion, MI 48359-1028
Mailing address
3097 S Baldwin Rd
Lake Orion, MI 48359-1028
Phone (248) 393-4573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302033159 | Other | MI | SOM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302033159 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co of Michigan | Past | Accepting new patients | |
| Kroger Co of Michigan | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fenton, MI
- NPI 1326917394
-
- Community/Retail Pharmacy
- Orion, MI
- NPI 1689608457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579305600000",
"number": "1912291295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3097 S BALDWIN RD",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483591028",
"telephone_number": "248-393-4573",
"fax_number": "248-393-4583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3097 S BALDWIN RD",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483591028",
"telephone_number": "248-393-4573",
"fax_number": "248-393-4583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENAWE",
"first_name": "RITA",
"middle_name": "MARY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-04",
"last_updated": "2020-01-18",
"certification_date": "2020-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302033159",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MI",
"license": "5302033159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOM",
"identifier": "5302033159",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.