DONALD J. ENNESSER (NPI# 1467741660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467741660 |
| Entity Type | Individual |
| Full Name | DONALD J. ENNESSER |
| Practice Address |
6535 Paw Paw Ave Coloma MI 49038-8805 |
| Practice Telephone | 2694683858 |
| Mailing Telephone | 2694683858 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302026086 | MI | Pharmacy Service Providers |
| Street Address |
6535 PAW PAW AVE |
| City | COLOMA |
| State | MI |
| Zip Code | 49038-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922312370 | Emily Kathleen Jacobs | Pharmacist | 6535 Paw Paw Ave, Coloma, MI 49038-8805 | 2010-07-27 |
| 1083213565 | Ruben S Ramdeo | Pharmacist | 6535 Paw Paw Ave, Coloma, MI 49038-8805 | 2020-10-26 |
| 1487269700 | Miriam Opara | Pharmacist | 6535 Paw Paw Ave, Coloma, MI 49038-8805 | 2020-09-14 |
| 1558652750 | Ramakrishna Reddy Burramukku | Pharmacist | 6535 Paw Paw Ave, Coloma, MI 49038-8805 | 2011-04-22 |
| 1699082453 | Renee Anderson | Pharmacist | 6535 Paw Paw Ave, Coloma, MI 49038-8805 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528494135 | Gerald Carl Thiele | Hearing Instrument Specialist | 6693 Red Arrow Hwy, Coloma, MI 49038 | 2013-09-16 |
| 1518283100 | Jeffrey Thomas Perrapato | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6270 Lakewood Pointe Drive, Coloma, MI 49038 | 2010-04-08 |
| 1316123102 | Moss Chiropractic Clinic P.C. | Chiropractor | 429 N. Paw Paw Street, Coloma, MI 49038 | 2008-01-11 |
| 1386848745 | Daniel A Iliff | Chiropractor | 6560 Red Arrow Highway, Coloma, MI 49038 | 2007-06-12 |
| 1598711939 | Darlene Suzanne Bruner-getz | Dentist | 213 N Paw Paw St, Coloma, MI 49038 | 2006-05-26 |
| 1194295782 | Jeremy B Shelley | Physical Therapist | 7040 Red Arrow Hwy, Coloma, MI 49038 | 2018-11-27 |
| 1265898878 | Brandi Smith | Nurse Practitioner | 6701 Paw Paw Ave, Coloma, MI 49038 | 2016-01-12 |
| 1144866906 | Healing Counseling Services LLC | Social Worker | 6572 Red Arrow Hwy Ste 2, Coloma, MI 49038-8700 | 2019-11-26 |
| 1457540908 | Red Arrow Family Practice | General Practice | 6500 Red Arrow Hwy, Coloma, MI 49038-8700 | 2007-10-22 |
| 1962562397 | Susan L Startup | Social Worker | 6560 Red Arrow Hwy, Coloma, MI 49038-8700 | 2006-12-08 |
| Find all providers in zip 49038 | ||||
| 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 |
|---|---|---|---|---|
| 1558778183 | Emily Jean Koenigshof | Pharmacist | 4050 Kerlikowske Rd, Coloma, MI 49038-8907 | 2014-07-15 |
| 1922312370 | Emily Kathleen Jacobs | Pharmacist | 6535 Paw Paw Ave, Coloma, MI 49038-8805 | 2010-07-27 |
| 1083213565 | Ruben S Ramdeo | Pharmacist | 6535 Paw Paw Ave, Coloma, MI 49038-8805 | 2020-10-26 |
| 1487269700 | Miriam Opara | Pharmacist | 6535 Paw Paw Ave, Coloma, MI 49038-8805 | 2020-09-14 |
| 1104187780 | Catherine Anne Gember | Pharmacist | 6577 Paw Paw Ave, Coloma, MI 49038-8805 | 2012-05-31 |
| 1558652750 | Ramakrishna Reddy Burramukku | Pharmacist | 6535 Paw Paw Ave, Coloma, MI 49038-8805 | 2011-04-22 |
| 1699082453 | Renee Anderson | Pharmacist | 6535 Paw Paw Ave, Coloma, MI 49038-8805 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477710 | Alix Sabbagh | Pharmacist | 154 River Ln, Dearborn, MI 48124-1047 | 2020-11-04 |
| 1659972867 | Bruce Alan Gilmore | Pharmacist | 5940 Augusta Ln, Grand Blanc, MI 48439-9473 | 2020-11-04 |
| 1437750551 | Anamiben R Patel | Pharmacist | 45555 Michigan Ave, Canton, MI 48188-2388 | 2020-11-04 |
| 1871194217 | Rajesh Koduru | Pharmacist | 27496 Pamplona Ln, Novi, MI 48374-4208 | 2020-11-03 |
| 1346841962 | Joy Emery | Pharmacist | 1770 N Alger Road, Alma, MI 48001 | 2020-11-02 |
| 1659972107 | Jane Gruenke | Pharmacist | N10305 Country Club Rd, Ironwood, MI 49938-9627 | 2020-11-02 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1811597602 | Rachel L Martin | Pharmacist | 600 N Center Ave, Gaylord, MI 49735-1506 | 2020-10-29 |
| 1760081467 | Sam Nasser | Pharmacist | 6610 Reuter St, Dearborn, MI 48126-1898 | 2020-10-22 |
| 1427656990 | Tejal Shah | Pharmacist | 1153 Pembroke Dr, Rochester Hills, MI 48307-5756 | 2020-10-15 |
| 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.