MISS MELONEZE RENEE BLACKMAN (NPI# 1831318849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831318849 |
| Entity Type | Individual |
| Full Name | MISS MELONEZE RENEE BLACKMAN |
| Practice Address |
22777 W 11 Mile Rd Southfield MI 48033-2152 |
| Practice Telephone | 2483580727 |
| Practice Fax Number | 2483589394 |
| Mailing Telephone | 2483580727 |
| Mailing Fax Number | 2483589394 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2010-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 300101041151852 | MI | Pharmacy Service Providers |
| Street Address |
22777 W 11 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356435754 | Henry Ford Health System | Pharmacy | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2006-10-03 |
| 1043713647 | Linda Jean Mahome | Physical Therapist | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2018-03-10 |
| 1043732068 | Brittany Michelle Schwanke | Behavioral Analyst | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2017-07-11 |
| 1033669122 | Jenny Wai-yin Lin | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2016-10-12 |
| 1326422908 | Marisa Elias | Pediatrics | 22777 W 11 Mile Rd, Southfield, MI 48033 | 2015-07-14 |
| 1811376577 | Mariana Fraga I | Behavioral Analyst | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2015-05-27 |
| 1013348051 | Hfhs Center for Autism and Developmental Disabilities | Clinic/Center | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2013-12-02 |
| 1134412679 | Dina Faig Ibrahim | Family Medicine | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2011-05-17 |
| 1477764272 | Horace Horn II | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48034-2152 | 2007-05-24 |
| 1952520462 | Jonathan Victor Van Lare | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48034-2152 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720031065 | David P Valentine | Pharmacy Technician | 20500 Civic Center Dr, Mail Code C303 - Pharmacy Services, Southfield, MI 48076-4115 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631991 | Mohammad E Salman | Pharmacy Technician | 33280 Richard O Dr, Sterling Hts, MI 48310-6116 | 2020-05-26 |
| 1710443502 | Sherri Ann Brady | Pharmacy Technician | 840 Purdy Rd, Montgomery, MI 49255-9618 | 2019-02-16 |
| 1578039277 | Alexandra A Milantoni | Pharmacy Technician | 22509 Trombly St, Saint Clair Shores, MI 48080-2889 | 2018-10-19 |
| 1912473844 | Adam Mathew King | Pharmacy Technician | 1550 E Beltline Ave Se Ste 175, Grand Rapids, MI 49506-4362 | 2018-10-18 |
| 1225564735 | Ashley Nichole Kochan | Pharmacy Technician | 1001 N Leroy St, Fenton, MI 48430-5308 | 2017-05-03 |
| 1457886848 | Javeria Qamar | Pharmacy Technician | 19173 Red Oak Ln, Brownstown, MI 48193-8804 | 2017-04-24 |
| 1245764356 | Ashly Megan Kronberger | Pharmacy Technician | 312 Atlas St, Gwinn, MI 49841-2823 | 2017-04-14 |
| 1790153831 | Ryan Arthur Silverthorn | Pharmacy Technician | 2874 Tall Oaks Ct, Apt 11, Auburn Hills, MI 48326-4171 | 2015-09-06 |
| 1023485117 | Michelle Ann Anderson | Pharmacy Technician | 9267 Pauline St, Montague, MI 49437-1021 | 2015-08-25 |
| 1861882730 | Alice Mathews | Pharmacy Technician | 7475 Creyts Rd, Dimondale, MI 48821-9416 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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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.