MATTHEW HENDERSON (NPI# 1134596901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134596901 |
| Entity Type | Individual |
| Full Name | MATTHEW HENDERSON |
| Practice Address |
1026 N Main St Royal Oak MI 48067-1317 |
| Practice Telephone | 2485464620 |
| Mailing Telephone | 2485464620 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302040885 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623172 | Matthew Gregory Henderson | Physician Assistant | Psc 311, Us Army, Apo, AP 96258 | 2018-09-18 |
| 1831543065 | Matthew Jamal Henderson | Counselor | 6375 S Williamson Blvd, Apt #733, Port Orange, FL 32128-4010 | 2016-04-13 |
| 1790310399 | Matthew Henderson | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-04 |
| 1013568740 | Matthew Henderson | Nurse Practitioner | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2019-09-24 |
| 1184150666 | Matthew Scott Henderson | Social Worker | 3155 Mill St Ne, Covington, GA 30014-2542 | 2017-05-03 |
| 1689093379 | Matthew Brandon Henderson | Pediatrics | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2014-04-10 |
| 1639438484 | Matthew Henderson | Anesthesiology | 101 W 8th Ave, Spokane, WA 99204-2307 | 2012-05-15 |
| 1629351895 | Matthew David Henderson | Pharmacist | 6435 Aliante Pkwy, North Las Vegas, NV 89084-3196 | 2011-09-23 |
| 1427273879 | Matthew Henderson | Physical Therapist | 4450 Hugh Howell Rd Ste 9, Tucker, GA 30084-4917 | 2007-04-13 |
| 1235280744 | Matthew Morgan Henderson | Social Worker | 1100 Wilford Hall Loop, San Antonio, TX 78236-5638 | 2007-01-13 |
| Street Address |
1026 N MAIN ST |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861636912 | Maria Theresa Fedor | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2009-04-20 |
| 1952919649 | Humayoun Ahmed | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2020-07-19 |
| 1780234179 | Amanda Fawaz | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2019-09-17 |
| 1205276268 | Sinan Kato | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2013-07-04 |
| 1093032534 | Gary Philip Posuniak | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2010-04-23 |
| 1497981823 | Margaritt Abunassar Giannetti | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2009-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| 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 |
|---|---|---|---|---|
| 1487162558 | Scott Ceresa | Pharmacist | 5010 Coolidge Hwy, Royal Oak, MI 48073 | 2018-01-11 |
| 1730613829 | Cynthia L Peitzsch | Pharmacist | 1024 E 6th St, Royal Oak, MI 48067-2820 | 2017-04-14 |
| 1548660459 | Michelle Krupka | Pharmacist | 218 W Farnum Ave, Royal Oak, MI 48067-1722 | 2014-08-27 |
| 1346590940 | Ankur Kumar Gupta | Pharmacist | 333 E 11 Mile Rd Apt 21, Royal Oak, MI 48067-2746 | 2012-09-12 |
| 1437428687 | Aman Singh | Pharmacist | 3412 W 13 Mile Rd, Royal Oak, MI 48073-6708 | 2011-12-16 |
| 1013291087 | Eddie James Butler | Pharmacist | 30852 N. Woodward Ave., Royal Oak, MI 48073 | 2011-10-07 |
| 1831497197 | Julie Cieszenski | Pharmacist | 207 Phillips Pl, Royal Oak, MI 48067-2732 | 2011-03-09 |
| 1861636912 | Maria Theresa Fedor | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2009-04-20 |
| 1962660043 | Barbara Renee Eisenberg Goldberg | Pharmacist | 1602 Midland Blvd, Royal Oak, MI 48073-5601 | 2008-05-27 |
| 1750584801 | Royale Pharmacy Inc. | Pharmacist | 424 E Fourth Street, Royal Oak, MI 48067 | 2007-06-07 |
| Find all providers in ROYAL OAK | ||||
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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.