Individual provider Active NPI

Nasr Eloksh

  • Pharmacist
  • Madison Heights, MI
National Provider Identifier
1124574900
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302039748 Issued in MI
Practice address
30551 Stephenson Hwy Ste 1
Madison Heights, MI 48071-1648
Phone
(248) 268-4531
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302039748 MI Primary

Addresses

Primary practice location

30551 Stephenson Hwy Ste 1
Madison Heights, MI 48071-1648

Mailing address

14785 Runnymeade Dr
Shelby Township, MI 48315-2540
Phone (248) 707-4500

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

LicenseStateTypeSpecialty
5302039748MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Neha Pharmacy Inc CurrentSince Nov 15, 2020 Accepting new patients

Locations

30551 Stephenson Hwy
Ste 1
Madison Heights, MI 48071
Phone (248) 268-4531

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1124574900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 RUNNYMEADE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152540",
            "telephone_number": "248-707-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30551 STEPHENSON HWY STE 1",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711648",
            "telephone_number": "248-268-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELOKSH",
        "first_name": "NASR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.