Active NPI
Medicine Room
- Community/Retail Pharmacy
- Oxford, MI
National Provider Identifier
1982700779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301003591
- Legal business name
- MEDICINE ROOM
- Practice address
- 72 S. Washington St
Ste 207
Oxford, MI 48371 - Phone
- (248) 628-7990
- Fax
- (248) 628-6507
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Crisp
- Title
- RPH,Owner
- Phone
- (810) 441-1685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301003591 | MI | Primary |
Addresses
Primary practice location
72 S. Washington St
Ste 207
Oxford, MI 48371
Mailing address
72 S. Washington St Ste 207 Oxford, Mi 48371
Ste 207
Oxford, MI 48371
Phone (248) 628-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2102167 | Medicaid | MI |
Other names 1
- Medicine room
National Provider Directory
National Provider DirectoryLocations
72 S Washington St
Oxford, MI 48371
Phone (248) 236-8333
72 S Washington St
Ste 207
Oxford, MI 48371
Phone (248) 628-7990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1982700779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 S. WASHINGTON ST STE 207 OXFORD, MI 48371",
"address_2": "STE 207",
"city": "OXFORD",
"state": "MI",
"postal_code": "48371",
"telephone_number": "248-628-7990",
"fax_number": "248-628-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 S. WASHINGTON ST",
"address_2": "STE 207",
"city": "OXFORD",
"state": "MI",
"postal_code": "48371",
"telephone_number": "248-628-7990",
"fax_number": "248-628-6507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE ROOM",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2024-07-10",
"status": "A",
"authorized_official_last_name": "CRISP",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "RPH,OWNER",
"authorized_official_telephone_number": "810-441-1685"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301003591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2102167",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine room",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.