MR. BRIAN JOHN PELTZ (NPI# 1275690133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275690133 |
| Entity Type | Individual |
| Full Name | MR. BRIAN JOHN PELTZ |
| Credential | RPH |
| Practice Address |
4700 Schaefer Rd Suite 340 Dearborn MI 48126-3655 |
| Practice Telephone | 3138275565 |
| Practice Fax Number | 3134295165 |
| Mailing Telephone | 3138275565 |
| Mailing Fax Number | 3134295165 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 051.294009 | IL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 5302025437 | MI | Pharmacy Service Providers |
| Street Address |
4700 SCHAEFER RD SUITE 340 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831169911 | Suhail M Banister | Pediatrics | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2006-01-23 |
| 1649820986 | Western Wayne Family Health Centers | Clinic/Center | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2019-09-18 |
| 1497279020 | Molina Medical Group of Michigan, PC | Family Medicine | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2017-07-26 |
| 1861931941 | Wassim Abouarabi | Nurse Practitioner | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2017-02-22 |
| 1316497761 | Molina Medical Group of Michigan, PC | Clinical Medical Laboratory | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2016-10-10 |
| 1407204134 | Molina Medical Group of Michigan, PC | Obstetrics & Gynecology | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2016-06-03 |
| 1831595040 | Angela Elaine Eburuche | Nurse Practitioner | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2014-11-16 |
| 1316368582 | Haya Altown | Physician Assistant | 4700 Schaefer Rd, Dearborn, MI 48126 | 2013-12-13 |
| 1174880736 | Oakwood Dentists P.l.l.c. | Dentist | 4700 Schaefer Rd, #109, Dearborn, MI 48126-3698 | 2012-04-19 |
| 1134492465 | University Physician Group | Eyewear Supplier (Equipment, not the service) | 4700 Schaefer Rd, Suite 260, Dearborn, MI 48126-3698 | 2012-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| 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 |
|---|---|---|---|---|
| 1609477710 | Alix Sabbagh | Pharmacist | 154 River Ln, Dearborn, MI 48124-1047 | 2020-11-04 |
| 1760081467 | Sam Nasser | Pharmacist | 6610 Reuter St, Dearborn, MI 48126-1898 | 2020-10-22 |
| 1063019099 | Yassin Mohamed | Pharmacist | 4216 Bingham St, Dearborn, MI 48126-3611 | 2020-10-02 |
| 1780299370 | Hanin Khatib | Pharmacist | 7700 Middlepointe St, Dearborn, MI 48126-1295 | 2020-09-10 |
| 1427662188 | Ali Dabajeh | Pharmacist | 7444 Manor St, Dearborn, MI 48126-1504 | 2020-09-01 |
| 1942823927 | Ali Ayoub | Pharmacist | 6620 Calhoun St, Dearborn, MI 48126-4514 | 2020-05-25 |
| 1598384836 | Zahi Ramzi Fawaz | Pharmacist | 5357 Royal Vale Ln, Dearborn, MI 48126-4208 | 2020-04-15 |
| 1598384430 | Zaher A Beydoun | Pharmacist | 22170 W Village Dr, Dearborn, MI 48124-2298 | 2020-04-10 |
| 1679104665 | Hussein Daoud Bazzi | Pharmacist | 1750 N Melborn St, Dearborn, MI 48128-1235 | 2020-01-29 |
| 1164053443 | Imad Hussein | Pharmacist | 6203 Ternes St, Dearborn, MI 48126-2013 | 2020-01-27 |
| Find all providers in DEARBORN | ||||
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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.