PHILIP MITIN (NPI# 1669882395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669882395 |
| Entity Type | Individual |
| Full Name | PHILIP MITIN |
| Credential | RPH |
| Practice Address |
1350 W Lake Lansing Rd East Lansing MI 48823-1314 |
| Mailing Address |
2131 White Owl Way Okemos MI 48864-5206 |
| Practice Telephone | 5173328851 |
| Practice Fax Number | 5173333065 |
| Mailing Telephone | 5173471536 |
| Mailing Fax Number | 5173333065 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302022479 | MI | Pharmacy Service Providers |
| Street Address |
1350 W LAKE LANSING RD |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447390919 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2007-02-07 |
| 1205472768 | Ashten Lindeman | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2019-11-20 |
| 1467008003 | Alan Pham | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2019-08-09 |
| 1841778511 | Ryan Rockwell | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2018-08-03 |
| 1902383508 | Erin Froehlich | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2018-07-26 |
| 1144706367 | Molly Bosom | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2018-07-11 |
| 1467962415 | Sarah Marie Fredricks | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2017-10-04 |
| 1518373950 | Todd Kennedy | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2014-07-07 |
| 1235568239 | Katie Wenstrom | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2013-11-11 |
| 1699059642 | Anthony N Bradway | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2011-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472768 | Ashten Lindeman | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2019-11-20 |
| 1164909701 | Rebecca Nguyen | Pharmacist | 7157 E Saginaw St, East Lansing, MI 48823-9627 | 2018-07-26 |
| 1588075766 | Magan Gill | Pharmacist | 7157 E Saginaw St, East Lansing, East Lansing, MI 48823-9627 | 2014-05-09 |
| 1972913457 | Kali Patrick | Pharmacist | 7157 E Saginaw St, East Lansing, MI 48823 | 2014-05-06 |
| 1962812677 | Swati Sahib | Pharmacist | 7157 E Saginaw St, East Lansing, East Lansing, MI 48823-9627 | 2014-05-02 |
| 1316357114 | Erin Kramer | Pharmacist | 7157 E Saginaw St, East Lansing, MI 48823-9627 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1407396831 | Michael Keller | Pharmacist | 6329 Red Rock Ct, Norton Shores, MI 49444-8794 | 2017-03-04 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1720494529 | Shelby Chopp | Pharmacist | 64670 Windrose Way, Lawton, MI 49065-9238 | 2014-07-01 |
| 1124431879 | Ann E Ziel | Pharmacist | 2799 10 Mile Rd Ne # Rde, Rockford, MI 49341-9100 | 2014-06-10 |
| 1316350887 | Jeffrey John Wieczorek | Pharmacist | 9416 Wildwood Lake Dr, Whitmore Lake, MI 48189-9430 | 2014-06-03 |
| 1467863993 | Tom Zoyiopoulos | Pharmacist | 1201 Lears, Indian River, MI 49749 | 2014-05-19 |
| 1063823698 | Waqas Akhtar | Pharmacist | 316 N Drake Rd, Kalamazoo, MI 49009-1106 | 2014-05-16 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
Please comment or provide details below to improve the information on PHILIP MITIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.