VIVIAN IBRAHIM (NPI# 1407457609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407457609 |
| Entity Type | Individual |
| Full Name | VIVIAN IBRAHIM |
| Practice Address |
29176 Van Dyke Ave Warren MI 48093-6764 |
| Mailing Address |
6331 Country Ridge Dr Troy MI 48098-6547 |
| Practice Telephone | 5864670265 |
| Practice Fax Number | 5864670259 |
| Mailing Telephone | 2488547888 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302034136 | MI | Pharmacy Service Providers |
| Street Address |
29176 VAN DYKE AVE |
| City | WARREN |
| State | MI |
| Zip Code | 48093-6764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801226063 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 29176 Van Dyke Ave, Warren, MI 48093-6764 | 2013-11-25 |
| 1831799295 | Mizanur Rahman Miah | Pharmacist | 29176 Van Dyke Ave, Warren, MI 48093-6764 | 2020-10-27 |
| 1588014799 | Kassem Dakdouk | Pharmacist | 29176 Van Dyke Ave, Warren, MI 48093-6764 | 2016-06-18 |
| 1386065720 | Wal-mart Stores East, Lp | Technician/Technologist | 29176 Van Dyke Ave, Warren, MI 48093-6764 | 2014-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| 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 |
|---|---|---|---|---|
| 1063024081 | Abdallah Hijazi | Pharmacist | 31241 Moulin Ave, Warren, MI 48088-7028 | 2020-08-20 |
| 1134755580 | Matthew Gordon Mctaggart | Pharmacist | 24886 Chalk Farm Rd W, Warren, MI 48091-5869 | 2020-03-18 |
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1750893160 | Ramzi Kassem | Pharmacist | 25141 Hoover Rd, Warren, MI 48089-1145 | 2017-10-26 |
| 1043738552 | Razur Rahman | Pharmacist | 30050 Hoover Rd Ste G, Warren, MI 48093-2544 | 2017-09-05 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1003360934 | Lily Nobles | Pharmacist | 214 Liberty St, Warren, PA 16365-2304 | 2016-08-09 |
| 1659745891 | Miranda Eileen Buchowski | Pharmacist | 4110 E 9 Mile Rd, Warren, MI 48091-2501 | 2015-11-27 |
| 1356712368 | Richard Giannini | Pharmacist | 4 Lansing St, Warren, PA 16365-4601 | 2015-10-16 |
| 1841670544 | Melissa Nicole-elaine Bayci | Pharmacist | 11300 E 13 Mile Rd Ste 4a, Warren, MI 48093-2500 | 2015-06-08 |
| Find all providers in WARREN | ||||
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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.