Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992851786 Individual Practitioner Male Practitioner

Timothy John Antonelli , RPH

Pharmacist • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Timothy Antonelli, RPH is a registered healthcare professional specializing in Pharmacist in Detroit, MI. Practice services are available at 600 E LAFAYETTE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 E Lafayette Blvd
Mail Code 512c

Detroit, MI 482262998

Telephone 2484487372

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
483 Specialists

Practicing in Detroit, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302028244

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1083579437

Doctor of Pharmacy (Pharm.D.)

Dr. Amy Hunter , MD

Internal Medicine

NPI 1194112995

Doctor of Medicine (M.D.)

Frederick Fedorowicz , PA-C

Physician Assistant

NPI 1306918990

Physician Assistant (Certified)

Dr. S Kipa , MD

Internal Medicine

NPI 1528246675

Doctor of Medicine (M.D.)

NPI 1548307572

Registered Pharmacist

NPI 1568620631

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 07, 2019

Registered at 600 E LAFAYETTE BLVD, MAIL CODE 512C, DETROIT, MI 482262998 (Tel: 2484487372)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2019

Pharmacist (License #5302028244 in MI)

NPI Profile Active January 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2012

Registered at 27000 WEST 11 MILE RD, MAIL CODE B773, SOUTHFIELD, MI 48304 (Tel: 2484487372)

📍
Updated Business Mailing Address January 19, 2012

Registered at 600 EAST LAFAYETTE BLVD, MAIL CODE 512C, DETROIT, MI 482262998 (Tel: 3134487372)

👤
Provider Name / Credentials Updated January 19, 2012

Recorded as TIMOTHY ANTONELLI, R.PH.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2012

Pharmacist (License #3544430 in MI)

🟢
Initial NPI Registration & Enumeration January 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992851786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2007
Last Update: June 07, 2019
Sole Proprietor: Yes

Mailing Address

600 East Lafayette Blvd, Mail Code 512c

Detroit, MI 482262998

Phone: 3134487372

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.