Marwan Isa

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

25901 Coolidge Hwy
Oak Park, MI 48237-1108

Phone

(248) 990-5121

NPI assigned

Apr 8, 2018

Sex

Male

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Lincoln RX Inc

  • Community/Retail Pharmacy
  • Oak Park, MI
  • NPI 1598262420
  NPD Authorized official
• Lincoln RX of Ferndale LLC

  • Community/Retail Pharmacy
  • Ferndale, MI
  • NPI 1326701574
  NPD Authorized official
• Lincoln RX of Yale LLC

  • Community/Retail Pharmacy
  • Yale, MI
  • NPI 1437030921
  NPD Authorized official

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1508363425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25901 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371108",
            "telephone_number": "248-990-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25901 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371108",
            "telephone_number": "248-990-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISA",
        "first_name": "MARWAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifeyinwa Ilechukwu, MD
• Imani Residential Services, Inc.
• Infinite Journeys Counseling Center
• Kendra Ingram
• Innovative Tool & Design Inc.
• Nejla Abdul-Massih Israel, MD
• Yelena Israetel, LMSW
• Fatme Issmail
• J&P Cousins LLC
• J&P Cousins LLC

• Pharmacy Technician in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.