DR. REBEKAH MAHONEY (NPI# 1851998173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851998173 |
| Entity Type | Individual |
| Full Name | DR. REBEKAH MAHONEY |
| Credential | PHARMD |
| Practice Address |
540 S Main St Lapeer MI 48446-2467 |
| Practice Telephone | 8106640391 |
| Practice Fax Number | 8106647079 |
| Mailing Telephone | 8106640391 |
| Mailing Fax Number | 8106647079 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302412716 | MI | Pharmacy Service Providers |
| Street Address |
540 S MAIN ST |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962436709 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 540 S Main St, Lapeer, MI 48446-2467 | 2006-07-10 |
| 1578100376 | William Michael Brennan | Specialist/Technologist | 540 S Main St, Lapeer, MI 48446-2467 | 2019-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
| Find all providers in zip 48446 | ||||
| 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 | ||||
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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.