Active NPI
Joseph S Luciow, RPH
- Pharmacist
- Detroit, MI
National Provider Identifier
1831540046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027301
- Practice address
- 18430 Fenkell St
Detroit, MI 48223-2301 - Phone
- (313) 837-2340
- NPI assigned
- Jun 29, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302027301 | MI | Primary |
| Pharmacist | 183500000X | 03135436 | OH |
Addresses
Primary practice location
18430 Fenkell St
Detroit, MI 48223-2301
Mailing address
18430 Fenkell St
Detroit, MI 48223-2301
Phone (313) 837-2340
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027301 | MI | MD | Pharmacist |
| 03135436 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1831540046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18430 FENKELL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482232301",
"telephone_number": "313-837-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18430 FENKELL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482232301",
"telephone_number": "313-837-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIOW",
"first_name": "JOSEPH",
"middle_name": "S",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-29",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027301",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03135436",
"primary": false
}
],
"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 Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.