Active NPI
Ahmad Odeh Sukkar
- Pharmacist
- Novi, MI
National Provider Identifier
1801499694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302046260
- Practice address
- 27100 Wixom Rd.
Novi, MI 48374 - Phone
- (248) 374-0892
- NPI assigned
- Nov 16, 2020
- 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 | 5302046260 | MI | Primary |
Addresses
Primary practice location
27100 Wixom Rd.
Novi, MI 48374
Mailing address
6369 Scoter LN
Ypsilanti, MI 48197-8738
Phone (734) 205-8183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1928334 | Other | MI | CVS |
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 |
|---|---|---|---|
| 5302046260 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1801499694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6369 SCOTER LN",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978738",
"telephone_number": "734-205-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27100 WIXOM RD.",
"city": "NOVI",
"state": "MI",
"postal_code": "48374",
"telephone_number": "248-374-0892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKKAR",
"first_name": "AHMAD",
"middle_name": "ODEH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302046260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CVS",
"identifier": "1928334",
"state": "MI"
}
],
"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 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.