Active NPI
Monica Mead, PHARM. D
- Pharmacist
- Portland, MI
National Provider Identifier
1972050425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5301006502
- Practice address
- 1339 E Grand River Ave
Portland, MI 48875-1629 - Phone
- (517) 647-4704
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 5302040864 | MI | |
| Pharmacist | 183500000X | 5301006502 | MI | Primary |
Addresses
Primary practice location
1339 E Grand River Ave
Portland, MI 48875-1629
Mailing address
305 Parkers Dr
Portland, MI 48875
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 |
|---|---|---|---|
| 5301006502 | MI | MD | Pharmacist |
| 5302040864 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1972050425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 PARKERS DR",
"city": "PORTLAND",
"state": "MI",
"postal_code": "48875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 E GRAND RIVER AVE",
"city": "PORTLAND",
"state": "MI",
"postal_code": "488751629",
"telephone_number": "517-647-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAD",
"first_name": "MONICA",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302040864",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5301006502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.