Individual provider Active NPI

Carolyn Kusch, RPH

  • Pharmacist
  • Ann Arbor, MI
National Provider Identifier
1659372563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302023595 Issued in MI
Practice address
2020 Green Rd
Ann Arbor, MI 48105-2553
Phone
(734) 994-7246
Fax
(734) 994-0638
NPI assigned
Aug 2, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302023595 MI Primary

Addresses

Primary practice location

2020 Green Rd
Ann Arbor, MI 48105-2553

Mailing address

1835 Peyton Dr
Ypsilanti, MI 48197-4425
Phone (734) 482-1590

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
5302023595MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Buschs Inc Past Accepting new patients
Buschs Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659372563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 PEYTON DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974425",
            "telephone_number": "734-482-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GREEN RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052553",
            "telephone_number": "734-994-7246",
            "fax_number": "734-994-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSCH",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302023595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.