IndividualActive
Fawn Bass
NPI 1770170193 · Pharmacist · Stevensville, MI
Provider details
- NPI number
- 1770170193
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5315122181 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
5637 Cleveland Ave
Stevensville, MI 49127-9613
Phone: (269) 429-8441
Fax: (269) 429-7578
Street-level locationGet directions
Mailing address
8745 Hollywood Rd
Berrien Springs, MI 49103-9104
Registry dates
- Enumerated
- 2020-12-31
- Last updated
- 2020-12-31
- Certified
- 2020-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.