Active NPI
Elisa Horosko
- Pharmacist
- Paw Paw, MI
National Provider Identifier
1033570478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302037251
- Practice address
- 1013 S Kalamazoo St
Paw Paw, MI 49079-8258 - Phone
- (269) 415-6014
- NPI assigned
- Mar 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302037251 | MI | Primary |
Addresses
Primary practice location
1013 S Kalamazoo St
Paw Paw, MI 49079-8258
Mailing address
6740 Apple Blossom LN
Kalamazoo, MI 49009-7483
Phone (517) 745-7155
Other practice location 1
6740 Apple Blossom Ln
Kalamazoo, MI 49009-7483
Phone (517) 745-7155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302037251 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1033570478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6740 APPLE BLOSSOM LN",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490097483",
"telephone_number": "517-745-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 S KALAMAZOO ST",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490798258",
"telephone_number": "269-415-6014"
}
],
"practiceLocations": [
{
"address_1": "6740 Apple Blossom Ln",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490097483",
"country_code": "US",
"telephone_number": "517-745-7155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOROSKO",
"first_name": "ELISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-13",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302037251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.