Active NPI
David Kenneth Efros, RPH.
- Pharmacist
- West Bloomfield, MI
National Provider Identifier
1235348798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302022052
- Practice address
- 6427 Orchard Lake Rd
West Bloomfield, MI 48322-2333 - Phone
- (248) 626-3400
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 183500000X | 5302022052 | MI | Primary |
Addresses
Primary practice location
6427 Orchard Lake Rd
West Bloomfield, MI 48322-2333
Mailing address
30900 Bristol LN
Bingham Farms, MI 48025-4619
Phone (248) 646-9236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302022052 | Other | MI | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 5302022052 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235348798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30900 BRISTOL LN",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254619",
"telephone_number": "248-646-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6427 ORCHARD LAKE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222333",
"telephone_number": "248-626-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFROS",
"first_name": "DAVID",
"middle_name": "KENNETH",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302022052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "5302022052",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.