DR. PETER J. ENOS (NPI# 1104375203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104375203 |
| Entity Type | Individual |
| Full Name | DR. PETER J. ENOS |
| Credential | PHARMD, MBA |
| Practice Address |
6603 Niagara Cir Stevensville MI 49127-9216 |
| Practice Telephone | 3213681271 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2020-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5302046794 | MI | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PS57614 | FL | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS57614 | FL | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302046794 | MI | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302046794 | MI | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS57614 | FL | Pharmacy Service Providers |
| Street Address |
6603 NIAGARA CIR |
| City | STEVENSVILLE |
| State | MI |
| Zip Code | 49127-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114404993 | Allison Kay Sobanski | Doula | 2802 Crownpoint Road, Stevensville, MI 49127 | 2018-07-24 |
| 1922525013 | Lavender and Sage Therapeutic Massage, LLC | Massage Therapist | 1816 West John Beers Rd, Stevensville, MI 49127 | 2017-08-29 |
| 1265962419 | Dr Melanie J Jones Optometrist PC | Optometrist | 5770 Cleveland Ave, Stevensville, MI 49127 | 2017-06-19 |
| 1417487018 | James Allen Organ | Registered Nurse | 2074 Joni Ln, Stevensville, MI 49127 | 2017-06-15 |
| 1114196086 | Tina W Latham-enix | Massage Therapist | 2634 West John Beers Rd., Stevensville, MI 49127 | 2008-02-26 |
| 1659578219 | Berrien County Cancer Service Inc | Prosthetic/Orthotic Supplier | 7301 Red Arrow Hwy, Stevensville, MI 49127 | 2007-06-28 |
| 1821207630 | Robert K Mcintyre | Psychologist | 7889 Red Arrow Hwy, Stevensville, MI 49127 | 2007-05-21 |
| 1265551642 | Carol Ann Shaver | Clinical Neuropsychologist | 5722 St Joseph Avenue, Stevensville, MI 49127 | 2007-03-28 |
| 1154431906 | James Bednar | Dentist | 5754 Red Arrow Highway, Stevensville, MI 49127 | 2006-08-30 |
| 1194830786 | David Anderson Siewert | Dentist | 5638 Cleveland Ave, Stevensville, MI 49127 | 2006-08-21 |
| Find all providers in zip 49127 | ||||
| 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 | ||||
| City | STEVENSVILLE |
| Zip Code | 49127 |
Please comment or provide details below to improve the information on DR. PETER J. ENOS.
| 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.