Active NPI
Renee Rae Koski, PHARM.D.
- Pharmacist
- Marquette, MI
National Provider Identifier
1346421955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302028980
- Practice address
- 418 W Magnetic St
Marquette, MI 49855-2711 - Phone
- (906) 225-3404
- Fax
- (906) 228-5734
- NPI assigned
- Nov 26, 2007
- Sex
- Female
- 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 | 5302028980 | MI | Primary |
Addresses
Primary practice location
418 W Magnetic St
Marquette, MI 49855-2711
Mailing address
418 W Magnetic St
Marquette, MI 49855-2711
Phone (906) 225-3404
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302028980 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1346421955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 W MAGNETIC ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552711",
"telephone_number": "906-225-3404",
"fax_number": "906-228-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 W MAGNETIC ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552711",
"telephone_number": "906-225-3404",
"fax_number": "906-228-5734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSKI",
"first_name": "RENEE",
"middle_name": "RAE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.