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KOUAKOU KONAN
NPI 1285250985
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Southgate, MI

Active since June 18, 2020
15300 EUREKA RD, SOUTHGATE, MI 48195(734) 283-9500(734) 283-2248 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kouakou Konan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOUAKOU KONAN (NPI 1285250985) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Southgate, Michigan, licensed in Michigan (5302037743) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1285250985
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameKOUAKOU KONAN
Location Address15300 EUREKA RDSouthgate, MI 48195-3261
Mailing Address15300 Eureka RdSouthgate, MI 48195-3261 · (734) 283-9500 · Fax (734) 283-2248
Phone(734) 283-9500
Fax(734) 283-2248
Sole ProprietorNo
Enumeration DateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1285250985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MI · 5302037743
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
15300 EUREKA RD, Southgate, MI 48195
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA KING RPH
Pharmacist
15300 EUREKA RD
SOUTHGATE, MI 48195
Wayne County (734) 283-9500
WOODWARD DETROIT CVS, L.L.C.
Pharmacy
15300 EUREKA RD
SOUTHGATE, MI 48195
Wayne County (734) 283-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kouakou Konan's NPI number?

The NPI number for Kouakou Konan is 1285250985. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Kouakou Konan located?

Kouakou Konan practices at 15300 Eureka Rd, Southgate, MI 48195. The listed phone number is (734) 283-9500.

What is Kouakou Konan's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Kouakou Konan was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.