Active NPI
Octavia Solomon
- Ambulatory Care Pharmacist
- Detroit, MI
National Provider Identifier
1215784731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 5302042596
- Practice address
- 7800 W Outer Dr
Detroit, MI 48235-3296 - Phone
- (313) 543-6365
- NPI assigned
- May 2, 2024
- Last updated
- Apr 17, 2025
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 5302042596 | MI | Primary |
Addresses
Primary practice location
7800 W Outer Dr
Detroit, MI 48235-3296
Mailing address
7800 W Outer Dr
Detroit, MI 48235-3461
Phone (734) 543-6365
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 |
|---|---|---|---|
| 5302042596 | MI | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1215784731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353461",
"telephone_number": "734-543-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353296",
"telephone_number": "313-543-6365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "OCTAVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MI",
"license": "5302042596",
"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 Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.