JENNIFER ANN ABRAHAM (NPI# 1063796662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063796662 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN ABRAHAM |
| Credential | RPH |
| Practice Address |
2755 Lake Michigan Dr Nw Grand Rapids MI 49504-5872 |
| Practice Telephone | 6167914777 |
| Practice Fax Number | 6167918110 |
| Mailing Telephone | 6167914777 |
| Mailing Fax Number | 6167918110 |
| Enumeration Date | 2011-10-01 |
| Last Update Date | 2011-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302033894 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173803 | Jennifer Abraham | Occupational Therapist | 653 Drexel Rd, Paramus, NJ 07652-4907 | 2020-08-02 |
| 1275178436 | Jennifer A Abraham | Social Worker | 135 Rocky Hill Rd, Plymouth, MA 02360-5524 | 2019-11-12 |
| 1194121657 | Jennifer V Abraham | Physician Assistant | 3433 Warren Farm Dr, Fort Collins, CO 80526-6344 | 2014-11-11 |
| 1295944619 | Jennifer Abraham | Dentist | 193 Green Bay Rd, Thiensville, WI 53092-1603 | 2007-05-22 |
| 1285650259 | Jennifer Jane Abraham | Internal Medicine | 3838 San Dimas St Ste A100, Bakersfield, CA 93301-2286 | 2006-07-14 |
| 1417580739 | Jennifer Lynn Abraham | Peer Specialist | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2020-02-14 |
| 1184175127 | Jennifer Abraham | Social Worker | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2016-10-14 |
| 1801235379 | Jennifer Abraham | Pharmacist | 117 E Live Oak Ave, Arcadia, CA 91006-5269 | 2013-06-18 |
| 1558650564 | Jennifer Alphonso Abraham | Psychologist | 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 | 2011-03-30 |
| 1699092320 | Jennifer Abraham | Residential Treatment Facility, Emotionally Disturbed Children | 4601 N I-35, Denton, TX 76207-3419 | 2010-04-20 |
| Street Address |
2755 LAKE MICHIGAN DR NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504-5872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679673909 | Family Fare, LLC | Pharmacy | 2755 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5872 | 2006-09-25 |
| 1326484254 | Carol J. Geurink | Pharmacist | 2755 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5872 | 2013-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
| 1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
| 1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
| 1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
| 1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
| 1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
| 1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
| Find all providers in zip 49504 | ||||
| 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 |
|---|---|---|---|---|
| 1164031860 | Jerika Nguyen | Pharmacist | 525 Clancy Ave Ne Apt 120, Grand Rapids, MI 49503-1843 | 2020-07-28 |
| 1063045177 | Kristen Buthker | Pharmacist | 1021 Alpine Ave Nw, Grand Rapids, MI 49504-4139 | 2020-02-17 |
| 1124667258 | Grant Lawson Beach | Pharmacist | 201 Michigan St Nw Apt 910, Grand Rapids, MI 49503-2330 | 2020-01-07 |
| 1821562844 | Catherine Formalejo Padogdog | Pharmacist | 2051 Ridgecrest Rd Se Apt 7, Grand Rapids, MI 49546-4321 | 2019-01-12 |
| 1386151660 | Brett Donald Jenkins | Pharmacist | 3326 Weatherford Dr Nw Apt 3a, Grand Rapids, MI 49544-6966 | 2018-01-08 |
| 1326568296 | Sarah Ann Kauffman | Pharmacist | 360 Division Ave S Ste 1a, Grand Rapids, MI 49503-4501 | 2017-06-22 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1235585456 | Kirsten Hayes | Pharmacist | 510 College Ave Ne Apt 215, Grand Rapids, MI 49503-1770 | 2016-05-06 |
| 1740649201 | Robert Matthew Granett | Pharmacist | 200 Jefferson Ave Se # See, Grand Rapids, MI 49503-4502 | 2016-02-12 |
| 1386000420 | Samantha Shifman | Pharmacist | 555 7th St Nw, Apt. 208, Grand Rapids, MI 49504-5213 | 2016-01-05 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
Please comment or provide details below to improve the information on JENNIFER ANN ABRAHAM.
| 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.