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1811873805 NPI number — RONISHA ANIJAH SIMMONS PHARMD STUDENT

NPI Number: 1811873805
Health Care Provider/Practitioner: RONISHA ANIJAH SIMMONS PHARMD STUDENT

Information about “1811873805” NPI (RONISHA ANIJAH SIMMONS PHARMD STUDENT) exists in 1811873805 in HTML format HTML  |  1811873805 in plain Text format TXT  |  1811873805 in PDF (Portable Document Format) PDF  |  1811873805 in an XML format XML  formats.

NPI Number : 1811873805 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811873805",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SIMMONS",
    "FirstName": "RONISHA",
    "MiddleName": "ANIJAH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD STUDENT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "121 IONIA AVE SW APT 212",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND RAPIDS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49503-5120",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-678-8457",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 CHERRY ST SE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND RAPIDS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49503-4526",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "616-965-8200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2025",
    "LastUpdateDate": "08/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": "5351018060",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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