ANGELA AZZOUZ (NPI# 1336616176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336616176 |
| Entity Type | Individual |
| Full Name | ANGELA AZZOUZ |
| Practice Address |
47300 Pontiac Trl Wixom MI 48393-2551 |
| Mailing Address |
29805 Lilley Trl Novi MI 48377-1823 |
| Practice Telephone | 2489600352 |
| Mailing Telephone | 2487679968 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302045673 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 183500000X | 05 |
| Street Address |
47300 PONTIAC TRL |
| City | WIXOM |
| State | MI |
| Zip Code | 48393-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083746002 | James Earl Smart | Pharmacist | 47300 Pontiac Trl, Wixom, MI 48393-2551 | 2007-03-12 |
| 1679986608 | Michael Downey | Pharmacist | 47300 Pontiac Trl, Wixom, MI 48393-2551 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907507 | Nikita Waller | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2017-04-28 |
| 1356897086 | Amber Kay Smith | Technician, Other | 403 Meadows Circle South, Wixom, MI 48393 | 2016-09-01 |
| 1306259718 | Omaka Mokambe | Licensed Practical Nurse | 47915 Thornwood St Apt 11103, Wixom, MI 48393 | 2014-06-04 |
| 1932491487 | Carla's Comp-anionship & Care LLC | Point of Service | 30739 Tamarack St. #40101, Wixom, MI 48393 | 2011-05-03 |
| 1790981900 | Positive Reflections Empowerment Center | Community/Behavioral Health | 47922 Fernwood 12107, Wixom, MI 48393 | 2007-06-25 |
| 1871635409 | Lawrence Robert Weiss | Chiropractor | 49295 West Rd, Wixom, MI 48393 | 2007-02-12 |
| 1295803096 | William Jason Finn | Chiropractor | 3255 W Maple, Suite B, Wixom, MI 48393 | 2006-12-01 |
| 1629148853 | J & B Medical Supply Co Inc | Durable Medical Equipment & Medical Supplies | 50496 W Pontiac Trail, Wixom, MI 48393 | 2006-11-08 |
| 1487613899 | Shawn William Grant | Physical Therapist | 29822 Wixom Rd., Wixom, MI 48393 | 2006-03-23 |
| 1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
| Find all providers in zip 48393 | ||||
| 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 |
|---|---|---|---|---|
| 1235745738 | Rana M El-teraifi | Pharmacist | 1342 Merriweather Ct, Wixom, MI 48393-1661 | 2020-09-20 |
| 1639377922 | Barbara Jane Petroff | Pharmacist | 46998 Magellan, Suite 300, Wixom, MI 48393-4727 | 2007-07-07 |
| 1083746002 | James Earl Smart | Pharmacist | 47300 Pontiac Trl, Wixom, MI 48393-2551 | 2007-03-12 |
| 1073144077 | Falah Philip Garmo | Pharmacist | 1585 N Wixom Rd, Wixom, MI 48393-1411 | 2020-01-28 |
| 1093345399 | Myriam George Gennaoui | Pharmacist | 1585 N Wixom Rd, Wixom, MI 48393-1411 | 2020-01-25 |
| 1699253229 | Scott Clancey | Pharmacist | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2018-08-06 |
| 1306350582 | Kyle Snider | Pharmacist | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2017-11-27 |
| 1679986608 | Michael Downey | Pharmacist | 47300 Pontiac Trl, Wixom, MI 48393-2551 | 2014-06-06 |
| 1679983977 | Julie Adis | Pharmacist | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2014-05-07 |
| 1568595643 | Farah Gabrial Hado | Pharmacist | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2007-03-14 |
| Find all providers in WIXOM | ||||
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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.