SUZANNE H FOMICH (NPI# 1356699078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356699078 |
Entity Type | Individual |
Full Name | SUZANNE H FOMICH |
Credential | RPH |
Practice Address |
23555 Allen Rd # T-0923 Woodhaven MI 48183-3381 |
Practice Telephone | 7346720005 |
Mailing Telephone | 7346720005 |
Enumeration Date | 2012-08-28 |
Last Update Date | 2012-08-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 5302041370 | MI | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 03132126-1 | OH | Pharmacy Service Providers |
Street Address |
23555 ALLEN RD # T-0923 |
City | WOODHAVEN |
State | MI |
Zip Code | 48183-3381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
Find all providers in zip 48183 |
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 |
---|---|---|---|---|
1437759693 | Anthony So | Pharmacist | 8765 94th St, Woodhaven, NY 11421-2236 | 2020-10-27 |
1295218055 | Ali Raza | Pharmacist | 9153 97th St, Woodhaven, NY 11421-2727 | 2018-09-07 |
1427550573 | Kenny Ng | Pharmacist | 8071 88th Ave, Woodhaven, NY 11421-2407 | 2018-03-05 |
1538685029 | Cody Tun Zhang | Pharmacist | 8733 88th Street, Woodhaven, NY 11421 | 2017-08-16 |
1205239084 | Ts Friends Corp. | Pharmacist | 8720 Jamaica Ave, Woodhaven, NY 11421-2036 | 2014-10-07 |
1164793667 | Fatema Akter | Pharmacist | 9422 90th Ave, 1st Floor, Woodhaven, NY 11421-2752 | 2012-01-16 |
1982918868 | Christopher Hanley | Pharmacist | 7928 Jamaica Ave, Woodhaven, NY 11421-1801 | 2010-08-03 |
1750605333 | Hyun Tack Lee | Pharmacist | 91-15 95th Street, Woodhaven, NY 11421 | 2010-03-25 |
1568786549 | Roma Tandon | Pharmacist | 7522 86th Rd, Woodhaven, NY 11421-1024 | 2010-03-20 |
1598097321 | Albert Baron | Pharmacist | 9602 Jamaica Ave, Woodhaven, NY 11421-2209 | 2010-02-03 |
Find all providers in WOODHAVEN |
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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.