Individual provider Active NPI

Ourania Bastounis

  • Pharmacotherapy Pharmacist
  • Shelby Township, MI
National Provider Identifier
1962813683
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
5302029422 Issued in MI
Practice address
15055 Hall Rd
Shelby Township, MI 48315-6206
Phone
(586) 566-4133
Fax
(586) 566-4165
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 5302029422 MI Primary

Addresses

Primary practice location

15055 Hall Rd
Shelby Township, MI 48315-6206

Mailing address

4998 Brookside LN
Washington, MI 48094-4200
Phone (586) 747-2993

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

LicenseStateTypeSpecialty
5302029422MIMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Meijer Inc 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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1962813683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 BROOKSIDE LN",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480944200",
            "telephone_number": "586-747-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15055 HALL RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156206",
            "telephone_number": "586-566-4133",
            "fax_number": "586-566-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTOUNIS",
        "first_name": "OURANIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302029422",
            "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 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.