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).
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 |
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 |
Street Address |
64660 VAN DYKE RD |
City | WASHINGTON |
State | MI |
Zip Code | 48095-2853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457551384 | Kroger Co of Michigan | Pharmacy | 64660 Van Dyke Rd, Washington, MI 48095-2853 | 2007-07-19 |
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 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 |
---|---|---|---|---|
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 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 48095 |
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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.