Active NPI
Michael Harold Koski, RPH
- Pharmacist
- Plymouth, MN
National Provider Identifier
1558780718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 113661
- Practice address
- 6055 Nathan LN N
Suite 200a
Plymouth, MN 55442-1674 - Phone
- (763) 463-4400
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 113661 | MN | Primary |
Addresses
Primary practice location
6055 Nathan LN N
Suite 200a
Plymouth, MN 55442-1674
Mailing address
6055 Nathan Lane N
Suite 200a
Plymouth, MN 55442
Phone (763) 463-4400
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113661 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1558780718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6055 NATHAN LANE N",
"address_2": "SUITE 200A",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55442",
"telephone_number": "763-463-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6055 NATHAN LN N",
"address_2": "SUITE 200A",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554421674",
"telephone_number": "763-463-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSKI",
"first_name": "MICHAEL",
"middle_name": "HAROLD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "113661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.