Active NPI
Amir Pasovic
- Pharmacist
- Sterling Heights, MI
National Provider Identifier
1861023574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302042256
- Practice address
- 3678 15 Mile Rd
Sterling Heights, MI 48310-5355 - Phone
- (586) 977-3610
- NPI assigned
- Jan 31, 2020
- Last updated
- Jan 31, 2020
- Sex
- Male
- 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 | 5302042256 | MI | Primary |
Addresses
Primary practice location
3678 15 Mile Rd
Sterling Heights, MI 48310-5355
Mailing address
29101 Hayes Rd Apt 29
Warren, MI 48088-4028
Phone (586) 819-6218
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 |
|---|---|---|---|
| 5302042256 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1861023574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29101 HAYES RD APT 29",
"city": "WARREN",
"state": "MI",
"postal_code": "480884028",
"telephone_number": "586-819-6218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3678 15 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483105355",
"telephone_number": "586-977-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASOVIC",
"first_name": "AMIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MI",
"license": "5302042256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.