ICAHN MANAGEMENT (NPI# 1750821849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750821849 |
| Entity Type | Organization |
| Organization Name | ICAHN MANAGEMENT |
| Practice Address |
200 Arnet St Ste 110 Ypsilanti MI 48198-5753 |
| Practice Telephone | 2487890999 |
| Mailing Telephone | 2487890999 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | RASHA JIDDOU (OWNER) |
| Authorized Official Telephone | 2487890999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 5301011101 | MI | Suppliers |
| Street Address |
200 ARNET ST STE 110 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48198-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
| 1053885137 | Justine Altman | Health Educator | 9855 High Meadow Dr., Ypsilanti, MI 48198 | 2019-01-11 |
| 1730650516 | Mark Neumann | Driver | 1233 Hull Ave, Ypsilanti, MI 48198 | 2018-12-05 |
| 1144703810 | Douglas John Pealer | Speech-Language Pathologist | 8100 Geddes Rd, Superior Charter Township, MI 48198 | 2018-09-10 |
| 1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
| 1205354339 | Kawana Young | Home Health | 1811 George Ave, Ypsilanti, MI 48198 | 2017-09-09 |
| 1477009173 | Brittney Thomas | Technician, Other | 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 | 2016-09-01 |
| 1528461167 | Emily Purdey | Social Worker | 8604 Pine Ct, Ypsilanti, MI 48198 | 2014-09-26 |
| 1063812550 | Harry Lee Hampton Jr. | Driver | 868 Allen St, Ypsilanti, MI 48198 | 2014-09-03 |
| 1073932760 | Ed Mcswain | Counselor | 6633 Stoney Creek Rd, Ypsilanti, MI 48198 | 2014-04-10 |
| Find all providers in zip 48198 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164441192 | Eastern Michigan University | Pharmacy | Suite 201 Snow Health Center, Eastern Michigan University, Ypsilanti, MI 48197 | 2006-07-19 |
| 1073547832 | Kroger Co of Michigan | Pharmacy | 3200 Carpenter Rd, Ypsilanti, MI 48197-9630 | 2006-07-10 |
| 1932574977 | Arbor Lakes Pharmacy LLC | Pharmacy | 1549 Holmes Rd, Ypsilanti, MI 48198-4147 | 2015-12-02 |
| 1699928325 | Salaman & Worthing Enterprises | Pharmacy | 3075 W Clark Rd, Ste 105, Ypsilanti, MI 48197-1103 | 2008-10-28 |
| 1467623108 | Canalis Medical Pharmacy LLC | Pharmacy | 200 Arnet St, Ste 130, Ypsilanti, MI 48198-5753 | 2008-03-21 |
| 1669493664 | Forest Health Medical Center LLC | Pharmacy | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2006-07-22 |
| 1235157660 | Wal-mart Stores East Lp | Pharmacy | 2515 Ellsworth Rd, Ypsilanti, MI 48197-5619 | 2006-07-17 |
| 1174554158 | Kmart of Michigan Inc | Pharmacy | 3100 Washtenaw Rd, Ypsilanti, MI 48197-1555 | 2006-07-06 |
| 1215979505 | Rosens Pharmacy | Pharmacy | 200 Arnet St, Ypsilanti, MI 48198-5735 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961763 | Dustyn Daniel Thoney | Pharmacy | 530 Harding Ave, Iron River, MI 49935-2265 | 2020-10-27 |
| 1497355697 | Katherine Jane Cybulski | Pharmacy | 1310 Waukazoo St, Hastings, MI 49058-9559 | 2020-10-27 |
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1770104192 | Hazelwood Pharmacy LLC | Pharmacy | 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 | 2020-04-27 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
| 1457996662 | Sunrise Pharmacy, LLC | Pharmacy | 989 University Dr Ste 104, Pontiac, MI 48342-1885 | 2019-11-12 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
| 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.