MYRON FEDORIW (NPI# 1720372584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720372584 |
| Entity Type | Individual |
| Full Name | MYRON FEDORIW |
| Practice Address |
32001 John R Rd T-0282 Madison Heights MI 48071-1322 |
| Practice Telephone | 2485854716 |
| Practice Fax Number | 2485854716 |
| Mailing Telephone | 2485854716 |
| Mailing Fax Number | 2485854716 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302021842 | MI | Pharmacy Service Providers |
| Street Address |
32001 JOHN R RD T-0282 |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023030798 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 32001 John R Rd, Madison Heights, MI 48071-1322 | 2006-07-24 |
| 1497128599 | Jowan Salem | Pharmacist | 32001 John R Rd, Madison Heights, MI 48071-1322 | 2015-11-11 |
| 1083022719 | Ali Samih Charara | Pharmacist | 32001 John R Rd, Madison Heights, MI 48071-1322 | 2014-07-25 |
| 1477995355 | Karen Elizabeth Spiteri | Pharmacist | 32001 John R Rd, Madison Heights, MI 48071-1322 | 2013-07-22 |
| 1902182215 | Supriya Kundani | Pharmacist | 32001 John R Rd, Madison Heights, MI 48071-1322 | 2011-11-01 |
| 1891082426 | Carol Ann Jackson | Pharmacist | 32001 John R Rd, Madison Heights, MI 48071-1322 | 2011-07-04 |
| 1215224084 | James N Fleming | Pharmacist | 32001 John R Rd, Madison Heights, MI 48071-1322 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| 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 |
|---|---|---|---|---|
| 1841821527 | Crystal Abboud | Pharmacist | 31010 John R Rd, Madison Heights, MI 48071-1908 | 2020-01-30 |
| 1629211446 | Ranna Esho | Pharmacist | 750 Pine Ridge Ln, Madison Heights, MI 48071-1918 | 2009-04-09 |
| 1124287701 | Lynise R Paschke | Pharmacist | 1410 E 14 Mile Rd Ste 200, Madison Heights, MI 48071-1550 | 2008-06-09 |
| 1700979655 | The Pharmacy Shop | Pharmacist | 28411 Dequindre, Madison Heights, MI 48071 | 2006-10-02 |
| 1710078183 | Patricia L Evans | Pharmacist | 521 Colony Rd Rt 210 East, Madison Heights, VA 24572 | 2006-09-28 |
| 1255447413 | Thomas F Rolands | Pharmacist | 30551 Stephenson Hwy, Suite A, Madison Heights, MI 48071-1645 | 2006-08-21 |
| 1578559712 | Nuha S. Rukieh | Pharmacist | 29101 John R Rd, Madison Heights, MI 48071-5403 | 2005-09-22 |
| 1467052985 | Asfawosen Bekele | Pharmacist | 197 Madison Heights Sq, Madison Heights, VA 24572-6243 | 2020-10-26 |
| 1790399962 | Refaela Beqi | Pharmacist | 27050 John R Rd, Madison Heights, MI 48071-3326 | 2020-09-03 |
| 1417567033 | Ian Walker | Pharmacist | 196 Amelon Sq, Madison Heights, VA 24572-5990 | 2020-08-07 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
Please comment or provide details below to improve the information on MYRON FEDORIW.
| 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.