Individual provider Active NPI

Regina Amadi, PHARM D

  • Pharmacist
  • Westland, MI
National Provider Identifier
1922522952
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302029358 Issued in MI
Practice address
30785 Ann Arbor Trail
Westland, MI 48185
Phone
(734) 469-2424
Fax
(734) 469-2428
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302029358 MI Primary

Addresses

Primary practice location

30785 Ann Arbor Trail
Westland, MI 48185

Mailing address

3129 Golfview Dr
Saline, MI 48176-9245
Phone (734) 330-3262

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302029358MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Life Pharmacy PLLC CurrentSince Jul 24, 2022 Accepting new patients
Luke Michaels, Inc Current Accepting new patients

Locations

30785 Ann Arbor Trl
Westland, MI 48185
Phone (734) 469-2424

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.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1922522952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 GOLFVIEW DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769245",
            "telephone_number": "734-330-3262",
            "fax_number": "734-429-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30785 ANN ARBOR TRAIL",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48185",
            "telephone_number": "734-469-2424",
            "fax_number": "734-469-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADI",
        "first_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302029358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.