TARA BURLEY (NPI# 1851672331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851672331 |
| Entity Type | Individual |
| Full Name | TARA BURLEY |
| Credential | PHARM.D. |
| Practice Address |
22318 Pontiac Trl South Lyon MI 48178-1657 |
| Practice Telephone | 2484865216 |
| Practice Fax Number | 2484865460 |
| Mailing Telephone | 2484865216 |
| Mailing Fax Number | 2484865460 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302031863 | MI | Pharmacy Service Providers |
| Street Address |
22318 PONTIAC TRL |
| City | SOUTH LYON |
| State | MI |
| Zip Code | 48178-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003098344 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 22318 Pontiac Trl, South Lyon, MI 48178-1657 | 2007-11-28 |
| 1912518580 | Joon Hwangbo | Pharmacist | 22318 Pontiac Trl, South Lyon, MI 48178-1657 | 2020-08-16 |
| 1326317025 | Ryan Fielding Grant | Pharmacist | 22318 Pontiac Trl, South Lyon, MI 48178-1657 | 2011-12-26 |
| 1295016202 | Walgreens | Pharmacist | 22318 Pontiac Trl, South Lyon, MI 48178-1657 | 2011-09-02 |
| 1861772592 | Rebecca Banks | Pharmacist | 22318 Pontiac Trl, South Lyon, MI 48178-1657 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231815 | Bhoomi Shah | Pharmacist | 22318 Pontiac Trail, South Lyon, MI 48178 | 2020-06-27 |
| 1649811845 | Center for Emdr and Trauma Therapy | Counselor | 28900 Pontiac Trail, South Lyon, MI 48178 | 2019-09-30 |
| 1295223386 | Cathrine Michelle Arneson | Massage Therapist | 321 Pettibone St. #101a, South Lyon, MI 48178 | 2018-04-25 |
| 1033592936 | 4-serv Family Medicine P.C. | Family Medicine | 51619 Ten Mile Rd, South Lyon, MI 48178 | 2015-07-09 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1255722088 | Jennifer Nidetz | Social Worker | 23015 Cheyenne Dr, South Lyon, MI 48178 | 2015-02-16 |
| 1174938658 | Michael Samir Matar | Family Medicine | 210 N Lafayette Street, South Lyon, MI 48178 | 2014-06-24 |
| 1043633191 | Kwonsoo Kenneth Kim | Anesthesiology | 8854 Stoney Creek Dr., South Lyon, MI 48178 | 2014-01-27 |
| 1285071860 | Ajanthan Sivagurunathan | Student in an Organized Health Care Education/Training Program | 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 | 2013-05-23 |
| 1184890055 | Yvonne Marie Snyder | Dentist | 100 E Lake St, South Lyon, MI 48178 | 2008-05-01 |
| Find all providers in zip 48178 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140293 | Frank Lobeck | Pharmacist | 12080 Tarika Ct, South Lyon, MI 48178-1901 | 2020-10-04 |
| 1083231815 | Bhoomi Shah | Pharmacist | 22318 Pontiac Trail, South Lyon, MI 48178 | 2020-06-27 |
| 1063042372 | Linda Ann Kempany | Pharmacist | 57090 10 Mile Rd, South Lyon, MI 48178-9718 | 2020-01-26 |
| 1710455621 | Alma Kohler | Pharmacist | 24636 Padstone Dr, South Lyon, MI 48178-8307 | 2018-11-08 |
| 1437323755 | Kimberly Rae Davis | Pharmacist | 25610 Pontiac Trl, South Lyon, MI 48178-8046 | 2008-04-17 |
| 1912518580 | Joon Hwangbo | Pharmacist | 22318 Pontiac Trl, South Lyon, MI 48178-1657 | 2020-08-16 |
| 1508490145 | Reggie Philip | Pharmacist | 22421 Pontiac Trl, South Lyon, MI 48178-1642 | 2020-02-22 |
| 1659904043 | Aparna Jagarlamudi Malempati | Pharmacist | 22421 Pontiac Trl, South Lyon, MI 48178-1642 | 2020-02-13 |
| 1235761560 | Anitha Dasari | Pharmacist | 61019 Silver Lake Rd, South Lyon, MI 48178-9209 | 2020-02-05 |
| 1750912374 | Ladonna Slattery | Pharmacist | 61019 Silver Lake Rd, South Lyon, MI 48178-9209 | 2020-02-02 |
| Find all providers in SOUTH LYON | ||||
| City | SOUTH LYON |
| Zip Code | 48178 |
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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.