MARK MITTLESTAT
NPI 1861970204
Pharmacist in Livonia, MI

Active since July 29, 2018
31320 FIVE MILE RD, LIVONIA, MI 48154(734) 427-3430 Get Directions Write a Review

NPPES record last updated: July 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Mittlestat NPPES

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

MARK MITTLESTAT (NPI 1861970204) is an individual pharmacist in Livonia, Michigan, licensed in Michigan (5302022896) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1861970204
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMARK MITTLESTAT
Location Address31320 FIVE MILE RDLivonia, MI 48154-3680
Mailing Address31320 Five Mile RdLivonia, MI 48154-3680 · (734) 427-3430
Sole ProprietorYes
Enumeration DateJuly 29, 2018
NPI 1861970204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302022896
Definition
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.
31320 FIVE MILE RD, Livonia, MI 48154

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
31320 FIVE MILE RD
LIVONIA, MI 48154

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 Mark Mittlestat's NPI number?

The NPI number for Mark Mittlestat is 1861970204. It was assigned to this individual provider in the NPPES registry on July 29, 2018.

Where is Mark Mittlestat located?

Mark Mittlestat practices at 31320 Five Mile Rd, Livonia, MI 48154. The listed phone number is (734) 427-3430.

What is Mark Mittlestat's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mark Mittlestat was last updated on July 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.