Active NPI
Alexa Joh
- Pharmacist
- Shelby Township, MI
National Provider Identifier
1831712454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411924
- Practice address
- 13664 23 Mile Rd
Shelby Township, MI 48315-2952 - Phone
- (586) 247-1199
- NPI assigned
- May 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 5302411924 | MI | Primary |
Addresses
Primary practice location
13664 23 Mile Rd
Shelby Township, MI 48315-2952
Mailing address
3887 Andover Ave
Auburn Hills, MI 48326-3030
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 |
|---|---|---|---|
| 5302411924 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1831712454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3887 ANDOVER AVE",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483263030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13664 23 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483152952",
"telephone_number": "586-247-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOH",
"first_name": "ALEXA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-19",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.