Individual provider Active NPI

Esther Iman Ojemudia

  • Pharmacist
  • Detroit, MI
National Provider Identifier
1215613252
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
530204230 Issued in MI
Practice address
1938 Crane St
Detroit, MI 48214-2877
Phone
(313) 465-3049
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X O253235338263 MI
Pharmacist 183500000X 530204230 MI Primary

Addresses

Primary practice location

1938 Crane St
Detroit, MI 48214-2877

Mailing address

1938 Crane St
Detroit, MI 48214-2877
Phone (313) 465-3049

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
530204230MIMDPharmacist
O253235338263MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1215613252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 CRANE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142877",
            "telephone_number": "313-465-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 CRANE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142877",
            "telephone_number": "313-465-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEMUDIA",
        "first_name": "ESTHER",
        "middle_name": "IMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "O253235338263",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "530204230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.