IndividualActive
Timothy Miodek
NPI 1710091418 · Pharmacist · Saint Clair Shores, MI
Timothy Miodek is a Pharmacist provider in Saint Clair Shores, MI (NPI 1710091418).
Provider details
- NPI number
- 1710091418
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5302030353 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21000 E 12 Mile Rd
Suite 124
Saint Clair Shores, MI 48081-1116
Phone: (586) 447-5030
Approximate (ZIP-level) locationGet directions
Mailing address
12853 Corbin Dr
Sterling Hts, MI 48313-3311
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Timothy Miodek's NPI number?
- Timothy Miodek's National Provider Identifier (NPI) is 1710091418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Miodek's specialty?
- Timothy Miodek is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Timothy Miodek located?
- Timothy Miodek's practice location on file with NPPES is 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116.
- What is Timothy Miodek's phone number?
- The practice phone number listed in the NPPES registry for Timothy Miodek is (586) 447-5030.
- Is Timothy Miodek's NPI active?
- Yes — Timothy Miodek's NPI (1710091418) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.