Active NPI
Anthony James Cole, PHARMD MPH MBA RPH
- Pharmacist
- Detroit, MI
National Provider Identifier
1811029127
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302033163
- Practice address
- 18021 Conant St
Detroit, MI 48234-1627 - Phone
- (313) 368-1000
- Fax
- (313) 368-1068
- NPI assigned
- Mar 12, 2007
- 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 | 5302033163 | MI | Primary |
Addresses
Primary practice location
18021 Conant St
Detroit, MI 48234-1627
Mailing address
18021 Conant St
Detroit, MI 48234-1627
Phone (313) 368-1000
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302033163 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buckley Brands LLC | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1376842765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1811029127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18021 CONANT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341627",
"telephone_number": "313-368-1000",
"fax_number": "313-368-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18021 CONANT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341627",
"telephone_number": "313-368-1000",
"fax_number": "313-368-1068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "ANTHONY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHARMD MPH MBA RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302033163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.