Individual provider Active NPI

Osamah Alkoshab, RPH

  • Pharmacist
  • Novi, MI
National Provider Identifier
1568005668
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302044530 Issued in MI
Practice address
39575 W 10 Mile Rd Ste 203
Novi, MI 48375-2949
Phone
(313) 414-5560
NPI assigned
Oct 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302044530 MI Primary

Addresses

Primary practice location

39575 W 10 Mile Rd Ste 203
Novi, MI 48375-2949

Mailing address

39575 W 10 Mile Rd Ste 203
Novi, MI 48375-2949

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

LicenseStateTypeSpecialty
5302044530MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Novi Pharmacy LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

39575 W 10 Mile Rd
Ste 203
Novi, MI 48375
Phone (248) 536-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1568005668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39575 W 10 MILE RD STE 203",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39575 W 10 MILE RD STE 203",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752949",
            "telephone_number": "313-414-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKOSHAB",
        "first_name": "OSAMAH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302044530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.