Abatesam Elmathil, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302042358 Issued in MI

Practice address

3000 Commerce Xing
Commerce Township, MI 48390-3082

Phone

(248) 529-2300

NPI assigned

Oct 4, 2019

Last updated

Oct 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1013558691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COMMERCE XING",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903082",
            "telephone_number": "248-529-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COMMERCE XING",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903082",
            "telephone_number": "248-529-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMATHIL",
        "first_name": "ABATESAM",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302042358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "w341phm@costco.com",
            "affiliation": "N",
            "address_1": "3000 Commerce Xing",
            "city": "Commerce Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483903082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leonard Eldeiry, M.D
• Dayna M. Elfont, D.O.
• Lana Rose Elia
• Fadi Eliya, MD
• Danielle R Eller, MA
• Hannah Nicole Emerson, M.S., ATC, NR-EMT
• Hannah Eng, DO
• Heather English, LPN
• Jeanne Erhardt, M.A.
• Megan Evans, M.A. CCC-SLP

• Pharmacist in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.