Elvis E Osagie

Primary specialty

PharmacistTaxonomy code 183500000X

License

119565 Issued in MN

Practice address

7362 University Ave NE Ste 211
Fridley, MN 55432-3151

Phone

(763) 205-3928

Fax

(612) 206-8284

NPI assigned

Jul 17, 2020

Last updated

Jul 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Point Inc

  • Home Health Agency
  • Fridley, MN
  • NPI 1073883666
  NPD Authorized official
• R.PH.S Direct PLLC

  • Pharmacy
  • Fridley, MN
  • NPI 1578180758
  NPD Authorized official

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1336757194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 211",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323151",
            "telephone_number": "347-693-8496",
            "fax_number": "612-206-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 211",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323151",
            "telephone_number": "763-205-3928",
            "fax_number": "612-206-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAGIE",
        "first_name": "ELVIS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Ahmed Omar
• Ontime Care LLC
• Optimum Healthcare Services LLC
• Optometric Eye Care Centers, P.a. (Eye Care Center)
• Orthodontic Specialists of Minnesota, P.L.L.C. (The Dental Specialists-Orthodontics)
• Abyan Jama Osman
• Aziza A Osman
• Fatuma A Osman, OWNER
• Hibaq Mohamed Osman
• Natalie Overmann, RN, CNP

• Pharmacist in Fridley, MN
• Providers in Fridley, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.