Active NPI
Kingsley Jademi
- Pharmacist
- Detroit, MI
National Provider Identifier
1609417534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302040406
- Practice address
- 16800 Greenfield Rd
Detroit, MI 48235-3703 - Phone
- (919) 300-5161
- NPI assigned
- Oct 2, 2019
- 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 | 5302040406 | MI | Primary |
Addresses
Primary practice location
16800 Greenfield Rd
Detroit, MI 48235-3703
Mailing address
16800 Greenfield Rd
Detroit, MI 48235-3703
Phone (919) 300-5161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.genez.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302040406 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1609417534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16800 GREENFIELD RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353703",
"telephone_number": "919-300-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16800 GREENFIELD RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353703",
"telephone_number": "919-300-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JADEMI",
"first_name": "KINGSLEY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302040406",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.genez.com",
"affiliation": "N",
"endpointDescription": "www.genez.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "16800 Greenfield Rd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482353703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.