Active NPI
Remy Onimoe
- Pharmacist
- Southfield, MI
National Provider Identifier
1679967038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302031320
- Practice address
- 16191 Livernois Avenue
Southfield, MI 48221 - Phone
- (313) 651-9059
- Fax
- (313) 659-6965
- NPI assigned
- Mar 24, 2015
- Sex
- Male
- 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 | 5302031320 | MI | Primary |
Addresses
Primary practice location
16191 Livernois Avenue
Southfield, MI 48221
Mailing address
3600 Oakwood Blvd
Melvindale, MI 48122-1150
Phone (313) 382-3996
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 |
|---|---|---|---|
| 5302031320 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gog Pharmacy PLLC | Past | Accepting new patients | |
| Divine Pharmacy LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1003273202
-
- Community/Retail Pharmacy
- Melvindale, MI
- NPI 1154681054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1679967038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 OAKWOOD BLVD",
"city": "MELVINDALE",
"state": "MI",
"postal_code": "481221150",
"telephone_number": "313-382-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16191 LIVERNOIS AVENUE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48221",
"telephone_number": "313-651-9059",
"fax_number": "313-659-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONIMOE",
"first_name": "REMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-24",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.