MRS. JANE ELIZABETH MOODY (NPI# 1629236807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629236807 |
| Entity Type | Individual |
| Full Name | MRS. JANE ELIZABETH MOODY |
| Credential | RPH |
| Practice Address |
35 S Johnson St Suite 1e Pontiac MI 48341-1658 |
| Practice Telephone | 2483349582 |
| Practice Fax Number | 2483341908 |
| Mailing Telephone | 2483349582 |
| Mailing Fax Number | 2483341908 |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2008-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302027506 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841790144 | Jane Marie Moody | Registered Nurse | Katahdin Valley Health Center, 30 Houlton Road, Patten, ME 04765-6221 | 2018-02-14 |
| Street Address |
35 S JOHNSON ST SUITE 1E |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345151 | Warren Rauss Pratt | Pharmacist | 35 S Johnson St, Suite 1e, Pontiac, MI 48341-1658 | 2005-06-09 |
| 1184061426 | Boysville of Michigan, Inc. | Counselor | 35 S Johnson St, Suite 3c, Pontiac, MI 48341-1658 | 2013-05-28 |
| 1225278542 | Alan Moore | Counselor | 35 S Johnson St, Suite 0-c, Pontiac, MI 48341-1658 | 2009-02-26 |
| 1306086772 | Lonie Gray | Counselor | 35 S Johnson St, Suite 0-c, Pontiac, MI 48341-1658 | 2009-02-25 |
| 1407015795 | Comprehensive Treatment Center P.C. | Clinic/Center | 35 S Johnson St, Ste 2 H, Pontiac, MI 48341-1658 | 2008-06-03 |
| 1922278795 | Robert M. Phillips Jr M.d. P.C. | Pediatrics | 35 S Johnson St, Suite 1b, Pontiac, MI 48341-1658 | 2008-03-07 |
| 1740466051 | Pontiac Associates In Obstetrics & Gynecology, P.C. | Clinic/Center | 35 S Johnson St, Suite 3c, Pontiac, MI 48341-1662 | 2008-01-16 |
| 1891971693 | Thomas Mathew Md Pllc | Internal Medicine | 35 S Johnson St, 1a, Pontiac, MI 48341-1658 | 2008-01-11 |
| 1790973618 | Richard Thomas Mcdonald | Dentist | 35 S Johnson St, Suite 2a, Pontiac, MI 48341-1658 | 2007-10-04 |
| 1306032511 | North Oakland Dental Center | Dentist | 35 S Johnson St, Suite 2a, Pontiac, MI 48341-1658 | 2007-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| 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 |
|---|---|---|---|---|
| 1154837110 | Wissam Thweni | Pharmacist | 140 N Saginaw St, Pontiac, MI 48342-2112 | 2017-12-28 |
| 1043758246 | Mohamed Gomaa | Pharmacist | 35 S Johnson St Ste 1e, Pontiac, MI 48341-1660 | 2017-02-08 |
| 1306251731 | Besman Jamil | Pharmacist | 3 S Telegraph Rd, Pontiac, MI 48341-1568 | 2014-06-24 |
| 1164706818 | Kenneth Louis Albrecht | Pharmacist | 813 N Cimmeron Dr, Pontiac, IL 61764-9428 | 2011-09-29 |
| 1568780047 | Paul Primo Petrucci | Pharmacist | 1186 Baldwin Ave, Pontiac, MI 48340-2708 | 2010-05-10 |
| 1194924639 | Charles Wyman Hughes | Pharmacist | 690 Martin Luther King Jr Blvd N, Pontiac, MI 48342-1626 | 2007-07-14 |
| 1306052048 | Rsn, LLC | Pharmacist | 219 Baldwin Ave, Pontiac, MI 48342-1301 | 2007-05-16 |
| 1467667485 | Rex A Pence | Pharmacist | 1034 W Reynolds St, Pontiac, IL 61764-9767 | 2007-05-12 |
| 1225151103 | Olaolu A Akinbiyi | Pharmacist | 360 Martin Luther King Jr Blvd N, Pontiac, MI 48342-1712 | 2007-04-07 |
| 1013008887 | Hershel B Cohen | Pharmacist | 640 Auburn Ave, Pontiac, MI 48342-3303 | 2006-09-27 |
| Find all providers in PONTIAC | ||||
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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.