Individual provider Active NPI

Emmanuel Appah

  • Pharmacist
  • Macomb, MI
National Provider Identifier
1619251097
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302037116 Issued in MI
Practice address
48166 Ellington Dr
Macomb, MI 48044-2279
Phone
(586) 435-6247
Fax
(586) 435-6247
NPI assigned
Oct 4, 2011
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302037116 MI Primary

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

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

LicenseStateTypeSpecialty
5302037116MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1619251097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 E 8 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912402",
            "telephone_number": "586-755-3046",
            "fax_number": "586-755-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48166 ELLINGTON DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442279",
            "telephone_number": "586-435-6247",
            "fax_number": "586-435-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPAH",
        "first_name": "EMMANUEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302037116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.