Individual provider Active NPI

Elaine Ann Oestrike

  • Pharmacist
  • Vicksburg, MI
National Provider Identifier
1447283403
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302034154 Issued in MI
Practice address
121 W Prairie St
Vicksburg, MI 49097-1258
Phone
(269) 649-0660
NPI assigned
Jul 9, 2006
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302034154 MI Primary

Addresses

Primary practice location

121 W Prairie St
Vicksburg, MI 49097-1258

Mailing address

121 W Prairie St
Vicksburg, MI 49097-1258
Phone (269) 649-0660

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

State licenses

LicenseStateTypeSpecialty
5302034154MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Freds Super Pharmacy Inc Pharmacist Current Accepting new patients
Freds Super Pharmacy Inc Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1447283403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W PRAIRIE ST",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490971258",
            "telephone_number": "269-649-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W PRAIRIE ST",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490971258",
            "telephone_number": "269-649-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OESTRIKE",
        "first_name": "ELAINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.