LEA MAE OLSON (NPI# 1497391445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497391445 |
| Entity Type | Individual |
| Full Name | LEA MAE OLSON |
| Credential | PHARM. D |
| Practice Address |
23101 John R Rd Hazel Park MI 48030-1475 |
| Practice Telephone | 2486581660 |
| Practice Fax Number | 2486581665 |
| Mailing Telephone | 2486581660 |
| Mailing Fax Number | 2486581665 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302040179 | MI | Pharmacy Service Providers |
| Street Address |
23101 JOHN R RD |
| City | HAZEL PARK |
| State | MI |
| Zip Code | 48030-1475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568487122 | Bormans Inc | Pharmacy | 23101 John R Rd, Hazel Park, MI 48030-1475 | 2006-07-13 |
| 1518360791 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 23101 John R Rd, Hazel Park, MI 48030-1475 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710254511 | Dennis Lee Levine | Family Medicine | 1142 E. 9 Mile Rd, Hazel Park, MI 48030 | 2011-11-22 |
| 1316167471 | Irwin Arnold Goodman | Dentist | 23941 John R., Hazel Park, MI 48030 | 2007-04-30 |
| 1053447490 | Thomas N Weigel Dds PC | Dentist | 23411 John R Street, Hazel Park, MI 48030 | 2007-02-27 |
| 1871668400 | Back In Line Chiropractic PC | Chiropractor | 712 E. 9 Mile Rd, Hazel Park, MI 48030 | 2006-11-21 |
| 1215025796 | Christopher Yon Chang | Physical Medicine & Rehabilitation | 704 E 9 Mile Rd, Hazel Park, MI 48030 | 2006-10-10 |
| 1043320302 | Ashtar Dentistry P.C. | Dentist | 23528 John R. Rd., Hazel Partk, MI 48030 | 2006-08-30 |
| 1477544088 | Musib S Gappy | Internal Medicine | 23411 John R, Hazel Park, MI 48030 | 2005-11-02 |
| 1639210693 | Basima Ykao Ykao-daman | Dentist | 23528 John R. Rd., Hazel Park, MI 48030 | 2007-02-10 |
| 1871674275 | Eye On Health P.C. | Optometrist | 22039 John R Rd, Hazal Park, MI 48030 | 2006-10-18 |
| 1356470520 | Randy Gordon Fillion | Massage Therapist | 98 W Garfield Ave, Hazel Park, MI 48030-1128 | 2007-03-05 |
| Find all providers in zip 48030 | ||||
| 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 |
|---|---|---|---|---|
| 1881235315 | Ifeoma C Odocha | Pharmacist | 350 E 9 Mile Rd Ste 2, Hazel Park, MI 48030-1854 | 2019-10-06 |
| 1437763455 | Dalia J Mekeel | Pharmacist | 33 W 9 Mile Rd, Hazel Park, MI 48030-1701 | 2020-09-08 |
| 1407474448 | Faddy Matti | Pharmacist | 1843 E 8 Mile Rd, Hazel Park, MI 48030-2639 | 2020-07-07 |
| 1235756438 | Marcia Lewis | Pharmacist | 1843 E 8 Mile Rd, Hazel Park, MI 48030-2639 | 2020-07-03 |
| 1407487291 | Chinwe Uduh | Pharmacist | 33 W 9 Mile Rd, Hazel Park, MI 48030-1701 | 2020-01-30 |
| 1073144846 | Sahar Kassab Sitto | Pharmacist | 33 W 9 Mile Rd, Hazel Park, MI 48030-1701 | 2020-01-30 |
| 1962033761 | Li Zhi Zheng | Pharmacist | 33 W 9 Mile Rd, Hazel Park, MI 48030-1701 | 2020-01-30 |
| 1033460563 | Venu Gopal Potluri | Pharmacist | 1059 E 9 Mile Rd, Hazel Park, MI 48030-1855 | 2012-09-24 |
| 1588745996 | Hasham Jadallah | Pharmacist | 23411 John R Rd, Hazel Park, MI 48030-1404 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477710 | Alix Sabbagh | Pharmacist | 154 River Ln, Dearborn, MI 48124-1047 | 2020-11-04 |
| 1659972867 | Bruce Alan Gilmore | Pharmacist | 5940 Augusta Ln, Grand Blanc, MI 48439-9473 | 2020-11-04 |
| 1437750551 | Anamiben R Patel | Pharmacist | 45555 Michigan Ave, Canton, MI 48188-2388 | 2020-11-04 |
| 1871194217 | Rajesh Koduru | Pharmacist | 27496 Pamplona Ln, Novi, MI 48374-4208 | 2020-11-03 |
| 1346841962 | Joy Emery | Pharmacist | 1770 N Alger Road, Alma, MI 48001 | 2020-11-02 |
| 1659972107 | Jane Gruenke | Pharmacist | N10305 Country Club Rd, Ironwood, MI 49938-9627 | 2020-11-02 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1811597602 | Rachel L Martin | Pharmacist | 600 N Center Ave, Gaylord, MI 49735-1506 | 2020-10-29 |
| 1760081467 | Sam Nasser | Pharmacist | 6610 Reuter St, Dearborn, MI 48126-1898 | 2020-10-22 |
| 1427656990 | Tejal Shah | Pharmacist | 1153 Pembroke Dr, Rochester Hills, MI 48307-5756 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL PARK |
| Zip Code | 48030 |
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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.