MRS. FANAR W JWAIDA (NPI# 1093921686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093921686 |
| Entity Type | Individual |
| Full Name | MRS. FANAR W JWAIDA |
| Credential | R. PH. |
| Practice Address |
20733 E 13 Mile Rd Roseville MI 48066-4503 |
| Mailing Address |
6244 Pinecroft Dr West Bloomfield MI 48322-2241 |
| Practice Telephone | 5864154844 |
| Practice Fax Number | 5864154855 |
| Mailing Telephone | 2488659201 |
| Mailing Fax Number | 2488659201 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302029065 | MI | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 516 W 7 Mile Rd, Detroit, MI 482031922 | 3133691204 | 3133691917 |
| Street Address |
20733 E 13 MILE RD |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341162 | Central Rx LLC | Pharmacy | 20733 E 13 Mile Rd, Roseville, MI 48066-4503 | 2020-09-16 |
| 1124464466 | Roseville Rx, Inc. | Pharmacy | 20733 E 13 Mile Rd, Roseville, MI 48066-4503 | 2013-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928143 | Daina Saati | Pharmacist | 1617 Grey Owl Cir, Roseville, CA 95661-4006 | 2020-09-23 |
| 1134766330 | Wazhma Mahshour | Pharmacist | 4165 Shorthorn Way, Roseville, CA 95747-4204 | 2019-12-06 |
| 1639734460 | John Dennis Snider Iv | Pharmacist | Sutter Roseville Medical Center Emergency Department, 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-05-07 |
| 1558830067 | Christine Marie Dakkak | Pharmacist | Raley's Pharmacy #227, 1915 Douglas Blvd, Roseville, CA 95661-0000 | 2018-11-14 |
| 1265932503 | Zeeshan H Toor | Pharmacist | 16970 E 13 Mile Rd, Roseville, MI 48066-7719 | 2018-02-13 |
| 1164958781 | Cesar A Olmedo | Pharmacist | 8800 Sierra College Blvd, Apt 633, Roseville, CA 95661-6414 | 2017-05-02 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| 1629509203 | Banafsheh Asadi Lee | Pharmacist | 1608 Avondale Dr, Roseville, CA 95747-8389 | 2017-03-24 |
| 1639543614 | Vy Nguyen | Pharmacist | 516 Amberly Ct, Roseville, CA 95747-9530 | 2015-11-13 |
| 1922478874 | Thuan Do | Pharmacist | 3030 Centre Pointe Dr Ste 800, Roseville, MN 55113-1142 | 2015-10-05 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.