Active NPI
Ernada Doko
- Pharmacist
- Wyandotte, MI
National Provider Identifier
1053869412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041092
- Practice address
- 1998 Biddle Ave
Wyandotte, MI 48192-3907 - Phone
- (734) 285-4100
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 5302041092 | MI | Primary |
Addresses
Primary practice location
1998 Biddle Ave
Wyandotte, MI 48192-3907
Mailing address
1998 Grange Rd
Trenton, MI 48183-1741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302041092 | Other | MI | LICENSE |
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 |
|---|---|---|---|
| 5302041092 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1053869412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1998 GRANGE RD",
"city": "TRENTON",
"state": "MI",
"postal_code": "481831741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1998 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481923907",
"telephone_number": "734-285-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOKO",
"first_name": "ERNADA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5302041092",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.