Spectra Med Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010104 Issued in MI

Legal business name

SPECTRA MED INC

Practice address

3160 Haggerty Rd
Ste H
West Bloomfield, MI 48323-2000

Phone

(248) 669-5757

Fax

(248) 669-2090

NPI assigned

Sep 6, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Stayer, R.PH.

Title

President/Pharmacist

Phone

(248) 669-5757

Specialties & licenses 2

Addresses

Other names 1

• Spectra Med Rx Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darlene Kay Button, DC, MAC

  • Acupuncturist
  • Plymouth, MI
  • NPI 1770626533
  NPD (past)
• Adriana Estela Novelli-Canner, P.T.

  • Physical Therapist
  • West Bloomfield, MI
  • NPI 1174698179
  NPD (past)

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1972938140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 HAGGERTY RD",
            "address_2": "STE H",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232000",
            "telephone_number": "248-669-5757",
            "fax_number": "248-669-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 HAGGERTY RD",
            "address_2": "STE H",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232000",
            "telephone_number": "248-669-5757",
            "fax_number": "248-669-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRA MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "STAYER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "248-669-5757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010104",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MI",
            "license": "5301010104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectra Med Rx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sparr Nutrition Services LLC
• Julie Spears
• Specialists in Pediatric Neurology PLLC
• Steven Spector, PHD
• Spectra Med Inc
• Walter Spencer, RPH
• Khalilla Spicer
• Lillie Ying Spilman
• Catherine Ann Spirko, LLMSW
• Seema Sridharan, PT

• Community/Retail Pharmacy in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.