BERONICA SALAH BAHOURA (NPI# 1538723085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538723085 |
| Entity Type | Individual |
| Full Name | BERONICA SALAH BAHOURA |
| Practice Address |
1301 W 14 Mile Rd Clawson MI 48017-2803 |
| Mailing Address |
6355 Royal Pointe Dr West Bloomfield MI 48322-2056 |
| Practice Telephone | 2484352410 |
| Mailing Telephone | 2484048929 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302043167 | MI | Pharmacy Service Providers |
| Street Address |
1301 W 14 MILE RD |
| City | CLAWSON |
| State | MI |
| Zip Code | 48017-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124285994 | Carlin E Jamil | Pharmacist | 1301 W 14 Mile Rd, Clawson, MI 48017-2803 | 2008-05-20 |
| 1356819072 | Lubna J Kareem | Pharmacist | 1301 W 14 Mile Rd, Clawson, MI 48017-2803 | 2018-11-12 |
| 1366855546 | Patrick Dodd | Pharmacist | 1301 W 14 Mile Rd, Clawson, MI 48017-2803 | 2014-06-05 |
| 1265722839 | Azhar Mahmood | Pharmacist | 1301 W 14 Mile Rd, Clawson, MI 48017-2803 | 2011-04-15 |
| 1033377619 | Bobby Lee Harrington | Pharmacist | 1301 W 14 Mile Rd, Clawson, MI 48017-2803 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947438 | Victor Hliebay | Nurse Practitioner | 1402 W 14 Mile Road, Clawson, MI 48017 | 2020-09-22 |
| 1174982102 | Kristina Reesman | Physical Therapist | 1409 Kenilworth Pl, Clawson, MI 48017 | 2016-02-18 |
| 1992183255 | Ali Shams | Emergency Medicine | 617 S Webik Ave, Clawson, MI 48017 | 2015-05-07 |
| 1821257197 | Wessam Yassa | Pharmacist | 610 E Elmwood Ave, Apt 102, Clawson, MI 48017 | 2008-06-03 |
| 1528259165 | Davinnci Dental Pllc | Dentist | 626 North Crooks, Clawson, MI 48017 | 2007-08-08 |
| 1780897892 | Sharon Kennedy Hosea | Dentist | 635 West 14 Mile Road, Clawson, MI 48017 | 2007-05-07 |
| 1700944063 | Steven J Rabaut | Physical Therapist | 901 W Maple Road, Clawson, MI 48017 | 2006-12-05 |
| 1457313611 | Craig S Wernette Dds PC | Dentist | 17 South Main St, Clawson, MI 48017 | 2006-04-04 |
| 1912981234 | Barbara M Kuczynski | Ophthalmology | 330 E 14 Mile Rd, Ste B, Clawson, MI 48017 | 2005-11-30 |
| 1265807879 | Deanne Ginns Gruenberg | Counselor | 808 W 14 Mile Rd, Clawson, MI 48017 | 2015-12-08 |
| Find all providers in zip 48017 | ||||
| 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 |
|---|---|---|---|---|
| 1700312543 | Nadir Zara | Pharmacist | 145 S Bywood Ave, Clawson, MI 48017-2624 | 2017-05-11 |
| 1821257197 | Wessam Yassa | Pharmacist | 610 E Elmwood Ave, Apt 102, Clawson, MI 48017 | 2008-06-03 |
| 1124285994 | Carlin E Jamil | Pharmacist | 1301 W 14 Mile Rd, Clawson, MI 48017-2803 | 2008-05-20 |
| 1902023427 | Diana Daniel | Pharmacist | 1402 W 14 Mile Rd, Clawson, MI 48017-1499 | 2007-04-18 |
| 1518045624 | Faris B Twal | Pharmacist | 560 W 14 Mile Rd, Clawson, MI 48017-1930 | 2006-11-02 |
| 1730715343 | Farah Muslemani | Pharmacist | 117 W 14 Mile Rd, Clawson, MI 48017-1965 | 2020-03-14 |
| 1346871027 | Jack Warren Vandahm | Pharmacist | 1402 W 14 Mile Rd, Clawson, MI 48017-1499 | 2020-01-30 |
| 1538790589 | Kirk F Diamond | Pharmacist | 1402 W 14 Mile Rd, Clawson, MI 48017-1499 | 2020-01-29 |
| 1457982555 | Zena Boutany | Pharmacist | 110 N Rochester Rd, Clawson, MI 48017-1742 | 2020-01-28 |
| 1477184752 | Amdadul Hoque | Pharmacist | 110 N Rochester Rd, Clawson, MI 48017-1742 | 2020-01-27 |
| Find all providers in CLAWSON | ||||
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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.