TENNILLE JUDSON (NPI# 1164832044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164832044 |
| Entity Type | Individual |
| Full Name | TENNILLE JUDSON |
| Practice Address |
5150 Coolidge Hwy Royal Oak MI 48073-1001 |
| Mailing Address |
2041 Kirkton Dr Troy MI 48083-1624 |
| Practice Telephone | 2482805033 |
| Mailing Telephone | 2487035795 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302033627 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHARMACIST LICENSE # | 5302033627 | 01 |
| Street Address |
5150 COOLIDGE HWY |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326187246 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 5150 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2007-02-06 |
| 1497205272 | William Beaumont Hospital | Nurse Practitioner | 5150 Coolidge Hwy, Beaumont Fastcare Retail Medicine, Royal Oak, MI 48073-1001 | 2016-10-05 |
| 1427503416 | Mallory Breish | Pharmacist | 5150 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2016-08-18 |
| 1336554096 | Christopher Bonner | Pharmacist | 5150 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2014-06-21 |
| 1093125999 | Jaclyn Bishja | Pharmacist | 5150 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2014-04-30 |
| 1962837518 | Stacey Brooke Cantor | Nurse Practitioner | 5150 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2013-09-13 |
| 1578901138 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5150 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2013-06-05 |
| 1114223377 | Cheaper Peepers of New York Mdiv, Inc. | Eye Bank | 5150 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2011-02-07 |
| 1841335379 | Geraldine Frances Muller | Nurse Practitioner | 5150 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2007-02-21 |
| 1316087331 | Early Solutions Clinic, LLC | Clinic/Center | 5150 Coolidge Hwy, Royal Oak, MI 48073-1025 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| 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 |
|---|---|---|---|---|
| 1093125999 | Jaclyn Bishja | Pharmacist | 5150 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2014-04-30 |
| 1144550393 | Deborah L Virant-young | Pharmacist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2010-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1407396831 | Michael Keller | Pharmacist | 6329 Red Rock Ct, Norton Shores, MI 49444-8794 | 2017-03-04 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1720494529 | Shelby Chopp | Pharmacist | 64670 Windrose Way, Lawton, MI 49065-9238 | 2014-07-01 |
| 1124431879 | Ann E Ziel | Pharmacist | 2799 10 Mile Rd Ne # Rde, Rockford, MI 49341-9100 | 2014-06-10 |
| 1316350887 | Jeffrey John Wieczorek | Pharmacist | 9416 Wildwood Lake Dr, Whitmore Lake, MI 48189-9430 | 2014-06-03 |
| 1467863993 | Tom Zoyiopoulos | Pharmacist | 1201 Lears, Indian River, MI 49749 | 2014-05-19 |
| 1063823698 | Waqas Akhtar | Pharmacist | 316 N Drake Rd, Kalamazoo, MI 49009-1106 | 2014-05-16 |
| Find all providers with the same taxonomy | ||||
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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.