DR. BROOKE MEADE BONHAM (NPI# 1831535665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831535665 |
Entity Type | Individual |
Full Name | DR. BROOKE MEADE BONHAM |
Credential | PHARM D |
Practice Address |
8900 Macomb St Grosse Ile MI 48138-1577 |
Practice Telephone | 7346766000 |
Mailing Telephone | 7346766000 |
Enumeration Date | 2013-05-20 |
Last Update Date | 2013-05-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302031257 | MI | Pharmacy Service Providers |
Street Address |
8900 MACOMB ST |
City | GROSSE ILE |
State | MI |
Zip Code | 48138-1577 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174631543 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 8900 Macomb St, Grosse Ile, MI 48138-1577 | 2006-08-27 |
1063044105 | Lena Silmi | Pharmacist | 8900 Macomb St, Grosse Ile, MI 48138-1577 | 2020-02-06 |
1649801499 | Sarah Ryan | Pharmacist | 8900 Macomb St, Grosse Ile, MI 48138-1577 | 2020-01-30 |
1679919070 | Karen Lynn Snyder | Pharmacist | 8900 Macomb St, Grosse Ile, MI 48138-1577 | 2013-05-13 |
1083873046 | Sav On Home Healthcare Supply Inc | Durable Medical Equipment & Medical Supplies | 8900 Macomb St, Grosse Ile, MI 48138-1577 | 2008-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588227003 | Community Renovations Inc. | Contractor | 9505 Groh Rd., Suite 240, Grosse Ile, MI 48138 | 2019-04-19 |
1164799722 | Robert L Angellotti | General Practice | 26735 East River Rd, Grosse Ile, MI 48138 | 2011-11-28 |
1831471820 | A(mos) Joseph Brough | Pathology | 9801 Hawthorn Glen Drive, Grosse Ile, MI 48138 | 2011-09-15 |
1750446217 | Malcolm Edward Williamson | Internal Medicine | 8432 Thorntree Drive, Grosse Ile, MI 48138 | 2006-12-26 |
1033217856 | Tricounty Nurses Plus,llc | Licensed Practical Nurse | 8538 Island Blvd, Grosse Ile, MI 48138 | 2006-09-20 |
1679583298 | Lidija M Nikolovska | Social Worker | 19598 Kathron Cr, Grosse, MI 48138 | 2006-08-08 |
1639438062 | Advanced Diagnostic Medical Imaging PC | Pain Medicine | 19891 Parke Ln, Grosse Ile, MI 48138-1027 | 2012-05-04 |
1306997127 | Anne Marie Zallakian | Surgery | 8572 Paulina Ave, Grosse Ile, MI 48138-1051 | 2007-01-16 |
1275824468 | 1st Assurance Billing Services LLC | Home Health | 8126 Harbor Pointe, Grosse Ile, MI 48138-1084 | 2011-04-22 |
1922141753 | Janice Marie Caie-lawrence | Nurse Practitioner | 8052 Odonnell Dr, Grosse Ile, MI 48138-1132 | 2007-02-14 |
Find all providers in zip 48138 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578163069 | Alaric Michael Nielson | Pharmacist | 158 Schoolcraft St, Lake Linden, MI 49945-1328 | 2020-10-26 |
1598380529 | Daniel Asare Offei | Pharmacist | 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 | 2020-06-16 |
1013540426 | Aiman Abueida | Pharmacist | 17000 Executive Plaza Dr Ste 201, Dearborn, MI 48126-2793 | 2020-02-14 |
1336770866 | Azadeh Ali Moghaddam | Pharmacist | 5951 Sunrise Dr, Ypsilanti, MI 48197-7498 | 2020-02-03 |
1811527104 | Bailey Elaine Johnson | Pharmacist | 626 W Front St, Traverse City, MI 49684-2210 | 2020-01-25 |
1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
1760020333 | Deborah Handrinos Njus | Pharmacist | 19028 Stonewater Blvd, Northville, MI 48168-8560 | 2019-12-14 |
1255978037 | Dana Trudell | Pharmacist | 829 W 4th St, Pinconning, MI 48650-8907 | 2019-11-29 |
1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
1467098533 | Thomas Aaron | Pharmacist | 4194 Glenbrook Ct, Sterling Heights, MI 48310-3378 | 2019-11-22 |
Find all providers with the same taxonomy |
City | GROSSE ILE |
Zip Code | 48138 |
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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.