Active NPI
Novi Pharmacy LLC
- Pharmacy
- Novi, MI
National Provider Identifier
1295379667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- NOVI PHARMACY LLC
- Practice address
- 39575 W 10 Mile Rd Ste 203
Novi, MI 48375-2949 - Phone
- (248) 536-2020
- Fax
- (248) 536-2063
- NPI assigned
- Oct 29, 2019
- Last updated
- Feb 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Osamah Alkoshab
- Title
- Owner/Pharmacist
- Phone
- (248) 536-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
39575 W 10 Mile Rd Ste 203
Novi, MI 48375-2949
Mailing address
39575 W 10 Mile Rd Ste 203
Novi, MI 48375-2949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200407000176 | MI | Part B Supplier - Pharmacy | 5597194993 | Practice locations: Novi, MI |
National Provider Directory
National Provider DirectoryLocations
39575 W 10 Mile Rd
Ste 203
Novi, MI 48375
Phone (248) 536-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Novi, MI
- NPI 1568005668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582156800000",
"number": "1295379667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39575 W 10 MILE RD STE 203",
"city": "NOVI",
"state": "MI",
"postal_code": "483752949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39575 W 10 MILE RD STE 203",
"city": "NOVI",
"state": "MI",
"postal_code": "483752949",
"telephone_number": "248-536-2020",
"fax_number": "248-536-2063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVI PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-29",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A",
"authorized_official_last_name": "ALKOSHAB",
"authorized_official_first_name": "OSAMAH",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "248-536-2020"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
- Novi Medicine, P.C. (Novi Medicine)
- Novi Mercy Pharmacy PC
- Novi Neurology PC
- Novi Orthopedic Anesthesia Specialists, P.C.
- Novi Pediatric Associates
- Novi Reconstructive Dentistry PC
- Novi Reference Laboratory
- Novi Sleep and TMJ PLLC
- Novi Spinal Care Institute LLC
- Novi Surgery Center LLC (Novi Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.