MR. RONALD DEAN SOUTHARD (NPI# 1518230598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518230598 |
| Entity Type | Individual |
| Full Name | MR. RONALD DEAN SOUTHARD |
| Credential | RPH |
| Practice Address |
2343 S Telegraph Rd Bloomfield MI 48302-0254 |
| Practice Telephone | 2489720725 |
| Practice Fax Number | 2489720570 |
| Mailing Telephone | 2489720725 |
| Mailing Fax Number | 2489720570 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302022224 | MI | Pharmacy Service Providers |
| Street Address |
2343 S TELEGRAPH RD |
| City | BLOOMFIELD |
| State | MI |
| Zip Code | 48302-0254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356736532 | Costco Wholesale Corporation | Hearing Aid Equipment | 2343 S Telegraph Rd, Bloomfield, MI 48302-0254 | 2015-04-03 |
| 1972994002 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2343 S Telegraph Rd, Bloomfield, MI 48302-0254 | 2015-02-11 |
| 1912258534 | Dalia Yaldo | Pharmacist | 2343 S Telegraph Rd, Bloomfield, MI 48302-0254 | 2012-09-21 |
| 1962539783 | Preferred Eyecare Pllc | Optometrist | 2343 S Telegraph Rd, Bloomfield, MI 48302-0254 | 2007-02-28 |
| 1750418125 | Harold Schiff | Optometrist | 2343 S Telegraph Rd, Bloomfield, MI 48302-0254 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| 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 |
|---|---|---|---|---|
| 1316550254 | Virleny A Garcia | Pharmacist | 537 Beardsley Ave, Bloomfield, NJ 07003-5606 | 2020-08-29 |
| 1346712254 | David Ramcharan | Pharmacist | 28 Parkway W, Bloomfield, NJ 07003-5723 | 2018-12-18 |
| 1285132449 | Maham Khan | Pharmacist | 19 Barry Cir, Bloomfield, CT 06002-1967 | 2018-01-23 |
| 1245783414 | Michael P Bettini | Pharmacist | 3456 Taft Rd, Bloomfield, NY 14469-9356 | 2016-07-25 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1740686427 | Chirag Paghdal | Pharmacist | 67 Barbara St, Bloomfield, NJ 07003-4001 | 2014-11-07 |
| 1841622511 | Kunal J Patel | Pharmacist | 17 Walter St, Bloomfield, NJ 07003-4016 | 2013-08-05 |
| 1386911162 | Christine Soon | Pharmacist | 53 Meadow Ln, Bloomfield, NJ 07003-4325 | 2011-11-22 |
| 1407139165 | Cheryl Hsu | Pharmacist | 100 Renner Ave, Bloomfield, NJ 07003 | 2011-09-20 |
| 1255640355 | Vinh Dam | Pharmacist | 77-105 Bloomfield Ave, Bloomfield, NJ 07003-5985 | 2010-10-07 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 48302 |
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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.