Individual provider Active NPI

Jim Solko, R.PH.

  • Pharmacist
  • Menominee, MI
National Provider Identifier
1235451089
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302030649 Issued in MI
Practice address
N3445 Gregerson LN
Menominee, MI 49858-9628
Phone
(906) 290-1155
Fax
(906) 863-2108
NPI assigned
Feb 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302030649 MI Primary

Addresses

Primary practice location

N3445 Gregerson LN
Menominee, MI 49858-9628

Mailing address

N3445 Gregerson LN
Menominee, MI 49858-9628
Phone (906) 290-1155

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

LicenseStateTypeSpecialty
5302030649MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1235451089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3445 GREGERSON LN",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498589628",
            "telephone_number": "906-290-1155",
            "fax_number": "906-863-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3445 GREGERSON LN",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498589628",
            "telephone_number": "906-290-1155",
            "fax_number": "906-863-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLKO",
        "first_name": "JIM",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302030649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menominee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.