Emmanuel Appah
Individual provider Active NPI Pharmacist · Macomb, MI
NPI 1619251097 · NPPES record last updated Oct 4, 2011
Key facts
- NPI
- 1619251097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302037116 (MI)
- Practice address
- 48166 Ellington Dr
Macomb, MI 48044-2279 - Phone
- (586) 435-6247
- Fax
- (586) 435-6247
- NPI assigned
- Oct 4, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302037116 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302037116 | MI | Yes |
Addresses
Primary practice location
48166 Ellington Dr
Macomb, MI 48044-2279
Mailing address
1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone (586) 755-3046
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.