Active NPI
Varghese M Joseph, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Saint Clair Shores, MI
National Provider Identifier
1164068060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 5302035858
- Practice address
- 22332 E 9 Mile Rd
Saint Clair Shores, MI 48080-1972 - Phone
- (586) 541-1042
- Fax
- (586) 541-1044
- NPI assigned
- Nov 26, 2019
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302035858 | MI | Primary |
Addresses
Primary practice location
22332 E 9 Mile Rd
Saint Clair Shores, MI 48080-1972
Mailing address
22332 E 9 Mile Rd
Saint Clair Shores, MI 48080-1972
Phone (586) 541-1042
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302035858 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1164068060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22332 E 9 MILE RD",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801972",
"telephone_number": "586-541-1042",
"fax_number": "586-541-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22332 E 9 MILE RD",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801972",
"telephone_number": "586-541-1042",
"fax_number": "586-541-1044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "VARGHESE",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-26",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MI",
"license": "5302035858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.