Active NPI
Rola Kazbour, RPHD
- Pharmacist
- Oak Park, MI
National Provider Identifier
1679166672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041894
- Practice address
- 25901 Coolidge Hwy
Oak Park, MI 48237-1108 - Phone
- (248) 543-7848
- Fax
- (248) 543-7849
- NPI assigned
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 5302041894 | MI | Primary |
Addresses
Primary practice location
25901 Coolidge Hwy
Oak Park, MI 48237-1108
Mailing address
25901 Coolidge Hwy
Oak Park, MI 48237-1108
Phone (248) 543-7848
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 |
|---|---|---|---|
| 5302041894 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln RX Inc | Current | Accepting new patients |
Locations
25901 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 543-7848
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1679166672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25901 COOLIDGE HWY",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371108",
"telephone_number": "248-543-7848",
"fax_number": "248-543-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25901 COOLIDGE HWY",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371108",
"telephone_number": "248-543-7848",
"fax_number": "248-543-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZBOUR",
"first_name": "ROLA",
"credential": "RPHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.