Active NPI
Ban George
- Pharmacist
- Novi, MI
National Provider Identifier
1669018073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302030976
- Practice address
- 40399 Grand River Ave
Novi, MI 48375-2123 - Phone
- (248) 536-1545
- Fax
- (248) 536-1570
- NPI assigned
- Nov 20, 2019
- Sex
- Female
- 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 | 5302030976 | MI | Primary |
Addresses
Primary practice location
40399 Grand River Ave
Novi, MI 48375-2123
Mailing address
40399 Grand River Ave Ste 110
Novi, MI 48375-2123
Phone (248) 536-1545
Other practice location 1
40399 Grand River Ave
Novi, MI 48375-2123
Phone (248) 536-1545
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 |
|---|---|---|---|
| 5302030976 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1669018073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40399 GRAND RIVER AVE STE 110",
"city": "NOVI",
"state": "MI",
"postal_code": "483752123",
"telephone_number": "248-536-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40399 GRAND RIVER AVE",
"city": "NOVI",
"state": "MI",
"postal_code": "483752123",
"telephone_number": "248-536-1545",
"fax_number": "248-536-1570"
}
],
"practiceLocations": [
{
"address_1": "40399 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483752123",
"country_code": "US",
"telephone_number": "248-536-1545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "BAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302030976",
"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 Nov 20, 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.