DR. JACOB KELAHAN


Address: 64660 Van Dyke Rd, Washington, MI 48095-2853
Phone: 5865408004

DR. JACOB KELAHAN (NPI# 1841836111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841836111
Entity Type Individual
Full Name DR. JACOB KELAHAN
Credential PHARMD
Practice Address 64660 Van Dyke Rd
Washington
MI 48095-2853
Practice Telephone 5865408004
Mailing Telephone 5865408004
Enumeration Date 2019-11-21
Last Update Date 2019-11-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist 5302041281 MI Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
5302041281 MI Pharmacy Service Providers

Office Location

Street Address 64660 VAN DYKE RD
City WASHINGTON
State MI
Zip Code 48095-2853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457551384 Kroger Co of Michigan Pharmacy 64660 Van Dyke Rd, Washington, MI 48095-2853 2007-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043748569 Shree Ohm Inc Pharmacy 64580 Van Dyke Rd Ste D, Washington, MI 48095 2017-05-28
1366763914 Jacob Paul Witer Dentist 65893 Van Dyke Rd, Washington Twp, MI 48095 2010-06-17
1619117405 Rite Aid of Michigan Inc Durable Medical Equipment & Medical Supplies 63033 Van Dyke Road, Washington, MI 48095 2009-03-06
1134262140 Romeo Sleep Center, LLC Physiological Laboratory 67150 Van Dyke, #150, Washington, MI 48095 2007-02-15
1982776738 Romeo Urgent Care, PC Clinic/Center 67150 Vandyke Rd, Washington, MI 48095 2006-11-15
1245311398 Orchardview Physicians, Pllc Preventive Medicine 12250 Thirty Mile Rd, Washington Township, MI 48095 2006-10-17
1548285109 Bormans Inc Pharmacy 64660 Van Dyke, Romeo, MI 48095 2006-07-13
1104860022 Michael Lucien Lefebvre Dentist 64580 Van Dyke, Suite B, Washington, MI 48095 2006-06-15
1992785828 Kulpa & Kulpa Dds Dentist 64845 Vandyke, Washington, MI 48095 2006-01-18
1972776813 Michigan Orthopedic & Spinal Surgery Pllc Orthopaedic Surgery 12150 30 Mile Rd, Suite 105, Washington Twp, MI 48095 2008-04-11
Find all providers in zip 48095

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285119891 Chelsie Morrison Pharmacist 3801 Connecticut Ave Nw Apt 347, Washington, DC 20008-4560 2018-09-28
1811498512 Royalty Pharmacy Consultant Services Pharmacist 100 Joliet Avenue Sw, Washington, DC 20032-2003 2018-02-27
1598273971 Harriet Kusi Pharmacist 3800 Reservoir Rd Nw # Bg010, Washington, DC 20007-2113 2018-01-18
1588081244 Cms Health Initiatives Pharmacist 1307 H St Ne, Washington, DC 20002-4446 2014-03-19
1720373681 Festus Opara Pharmacist 3818 12th St Ne, Washington, DC 20017-2630 2011-06-17
1265750806 Janis Hill-jackson Pharmacist 1217 Varnum St Ne, Washington, DC 20017-2755 2010-05-06
1841527447 Kapiamba Muteba Pharmacist 812 H St Ne, Washington, DC 20002-3629 2009-11-03
1871733485 Misganaw Asmare Alemu Pharmacist 1429 Columbia Rd Nw Apt 27, Washington, DC 20009-4718 2009-02-23
1588264501 Jessica Renee Alford Pharmacist 1801 S State Road 57, Washington, IN 47501-4541 2020-10-28
1508482928 Lauren Shirley Pharmacist 50 Irving St Nw, Washington, DC 20422-0001 2020-06-22
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Competitor

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City WASHINGTON
Zip Code 48095

Improve Information

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Dataset Information

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.

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