Individual provider Active NPI

Keith Asongwe Atowo

  • Pharmacist
  • Westland, MI
National Provider Identifier
1124899398
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302415787 Issued in MI
Practice address
31411 Cherry Hill Rd
Westland, MI 48186-5264
Phone
(734) 326-2990
NPI assigned
Jan 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302415787 MI Primary

Addresses

Primary practice location

31411 Cherry Hill Rd
Westland, MI 48186-5264

Mailing address

31411 Cherry Hill Rd
Westland, MI 48186-5264
Phone (734) 383-8219

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
5302415787MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
True Grace Pharmaceutical Current Accepting new patients
Woodward Detroit CVS, L.L.C. PastSince Jan 21, 2024 Accepting new patients

Organizations & group practices 2

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1124899398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31411 CHERRY HILL RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865264",
            "telephone_number": "734-383-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31411 CHERRY HILL RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865264",
            "telephone_number": "734-326-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATOWO",
        "first_name": "KEITH",
        "middle_name": "ASONGWE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302415787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.