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DR. THOMAS WALTER BODENDORFER PHARMD
NPI 1104548999
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lathrup Village, MI

Active since September 19, 2022
28053 SUNSET BLVD W, LATHRUP VILLAGE, MI 48076(248) 252-9720 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Walter Bodendorfer Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS WALTER BODENDORFER PHARMD (NPI 1104548999) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Lathrup Village, Michigan, licensed in Michigan (5302021966) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1104548999
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. THOMAS WALTER BODENDORFERCredential: PHARMD
Location Address28053 SUNSET BLVD WLathrup Village, MI 48076-7016
Mailing Address28053 Sunset Blvd WLathrup Village, MI 48076-7016 · (248) 252-9720
Phone(248) 252-9720
Sole ProprietorYes
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 17, 2022
✔ NPI 1104548999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MI · 5302021966
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
28053 SUNSET BLVD W, Lathrup Village, MI 48076
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Other Identifiers 1

Other87-2462706MI · Lara State Michigan Small Business Licensing

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Bodendorfer's NPI number?

The NPI number for Thomas Bodendorfer is 1104548999. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Thomas Bodendorfer located?

Thomas Bodendorfer practices at 28053 Sunset Blvd W, Lathrup Village, MI 48076. The listed phone number is (248) 252-9720.

What is Thomas Bodendorfer's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Thomas Bodendorfer was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.