SAV MART PHARMACY (NPI# 1124168513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124168513 |
| Entity Type | Organization |
| Organization Name | SAV MART PHARMACY |
| Practice Address |
7011 Gratiot Ave Sav-mart Pharmacy Detroit MI 48207-1973 |
| Practice Telephone | 3139230007 |
| Mailing Telephone | 3139230007 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WALEED M YAGHMOUR (PHARMACIST) |
| Authorized Official Telephone | 3139230007 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5301007993 | MI | Pharmacy Service Providers |
| Street Address |
7011 GRATIOT AVE SAV-MART PHARMACY |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174994578 | First Health, LLC | Pharmacy | 7011 Gratiot Ave, Detroit, MI 48207-1973 | 2015-10-12 |
| 1376846980 | Sav-mart Pharmacy-gratiot LLC | Pharmacy | 7011 Gratiot Ave, Detroit, MI 48207-1973 | 2010-12-21 |
| 1376688275 | Sav-mart Pharmacy Gratiot LLC | Pharmacy | 7011 Gratiot Ave, Detroit, MI 48207-1973 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619122157 | Dennis Veal | Pharmacist | 7900 Kercheval, Detroit, MI 48214-2968 | 2008-11-25 |
| 1073715397 | Kenyetta Nicole Nesbitt | Pharmacist | 259 Mack Ave, Eacphs Suite 2190, Detroit, MI 48201-2427 | 2007-05-31 |
| 1821192287 | Carole S Adams | Pharmacist | John R St, John D Dingell Va Pharmacy Dept 118 Cp, Detroit, MI 48201 | 2006-09-07 |
| 1508977885 | Matthew Thomas Mroozian | Pharmacist | 4646 John R St # 118-cp, Detroit, MI 48201-1916 | 2006-08-31 |
| 1619959707 | Candice Garwood | Pharmacist | 3990 John R St, Department of Pharmacy, Detroit, MI 48201-2018 | 2005-11-15 |
| 1093369001 | Tony Tayar | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2019-07-29 |
| 1295283778 | Justin R Super | Pharmacist | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2016-09-14 |
| 1023401411 | Jodi Lecuyer | Pharmacist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2015-03-10 |
| 1992130504 | Nimisha Sulejmani | Pharmacist | 2799 W Grand Blvd, Pharmacy Administration, Detroit, MI 48202-2608 | 2013-09-13 |
| 1851731368 | Carol Lynn Moore | Pharmacist | 2799 W Grand Blvd, Cfp-519, Detroit, MI 48202-2608 | 2013-06-28 |
| Find all providers in DETROIT | ||||
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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.