Active NPI
Martin Manuel, PHARMD
- Pharmacist
- Sterling Heights, MI
National Provider Identifier
1932718889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412773
- Practice address
- 36600 Van Dyke Ave
Sterling Heights, MI 48312-2766 - Phone
- (586) 274-1610
- NPI assigned
- Jul 27, 2020
- Last updated
- Jul 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302412773 | MI | Primary |
Addresses
Primary practice location
36600 Van Dyke Ave
Sterling Heights, MI 48312-2766
Mailing address
36600 Van Dyke Ave
Sterling Heights, MI 48312-2766
Phone (586) 274-1610
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302412773 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Inc | Past | Accepting new patients | |
| Meijer Inc | 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, 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": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1932718889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36600 VAN DYKE AVE",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483122766",
"telephone_number": "586-274-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36600 VAN DYKE AVE",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483122766",
"telephone_number": "586-274-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUEL",
"first_name": "MARTIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-27",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.