Oshtemo Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OSHTEMO PHARMACY LLC

Doing business as

Oshtemo Pharmacy

Practice address

635 N 9TH St Ste E
Kalamazoo, MI 49009-5897

Phone

(269) 459-8653

Fax

(269) 459-8654

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Phi Nguyen, PHARMDNPI 1821375023

Title

Owner

Phone

(734) 658-1192

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Oshtemo Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phi Dai Nguyen, PHARMD

  • Pharmacist
  • Kalamazoo, MI
  • NPI 1821375023
  NPD Authorized official

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1699229948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N 9TH ST STE E",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095897",
            "telephone_number": "269-459-8653",
            "fax_number": "269-459-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N 9TH ST STE E",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095897",
            "telephone_number": "269-459-8653",
            "fax_number": "269-459-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSHTEMO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-658-1192",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301010987",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162465",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oshtemo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oshtemo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Russell Osborne, L.P.C.
• Christina Marie Osborne, NP
• Erica Osei
• Oshtemo Family Dentistry PLC
• Oshtemo Family Dentistry, PC
• Marie Osler
• Sasha Vanessa Ospina, LMSW
• Racel Elizabeth Ossino, PTA
• Ellowyn Oster
• Christopher Osterbauer, DO

• Community/Retail Pharmacy in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.