MR. JERRY SHERWIN VIDIS


Address: 41092 Northwind Dr, Canton, MI 48188-3115
Phone: 7343972783

MR. JERRY SHERWIN VIDIS (NPI# 1518491513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518491513
Entity Type Individual
Full Name MR. JERRY SHERWIN VIDIS
Credential RPH, MS
Practice Address 41092 Northwind Dr
Canton
MI 48188-3115
Practice Telephone 7343972783
Mailing Telephone 7343972783
Enumeration Date 2017-04-17
Last Update Date 2020-02-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 5302022445 MI Pharmacy Service Providers

Office Location

Street Address 41092 NORTHWIND DR
City CANTON
State MI
Zip Code 48188-3115

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437766425 Kesha Glimps Home Health Aide 513 Cherry Orchard, Canton, MI 48188 2020-09-24
1881222578 Darlenda Knuckles Licensed Practical Nurse 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 2020-03-30
1023646049 Nikeyta Catrice Evans Licensed Practical Nurse 43825 Michign Ave Suite 2, Canton, MI 48188 2020-03-27
1013473925 Yen Do Ruiz Pharmacist 41460 Haggerty Circle South, Canton, MI 48188 2019-02-15
1366938607 Abidi Mehdi Medical, Pllc Internal Medicine 44237 Michigan Avenue, Canton, MI 48188 2018-07-10
1720589427 Audrey Imbur Physical Therapist 4111 S. Canton Center Rd, Canton, MI 48188 2018-02-27
1639687700 Tanveer Hussain Physical Therapist 3439 Brooklyn Dr, Canton, MI 48188 2018-01-11
1376054833 Cherry Hill Village Pharmacy LLC Pharmacy 50429 Independence St, Canton, MI 48188 2017-10-23
1396262101 Enid Alexandra Moore Social Worker 40946 Crossbow Cir, Apt 201, Canton, MI 48188 2017-08-23
1922520865 Marc Slotnick Peer Specialist 43825 Michigan Ave., Canton, MI 48188 2017-07-12
Find all providers in zip 48188

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437750551 Anamiben R Patel Pharmacist 45555 Michigan Ave, Canton, MI 48188-2388 2020-11-04
1467084343 Syed Ashraf Ali Shah Pharmacist 385 Westbourne Ct, Canton, MI 48188-4718 2020-02-07
1427680503 Gracy Mathai-mathews Pharmacist 770 Pheasant Woods Dr, Canton, MI 48188-5224 2020-02-06
1962059378 Catherine Lynn Denner Pharmacist 330 Oak Hill Ln, Canton, GA 30115-5433 2019-08-20
1427601806 Tarek Mazloum Pharmacist 3815 Herbey St, Canton, MI 48188-2421 2019-07-24
1013473925 Yen Do Ruiz Pharmacist 41460 Haggerty Circle South, Canton, MI 48188 2019-02-15
1063978260 Jordan Richard Wanner Pharmacist 4615 Middlebranch Ave Ne, Canton, OH 44705-2960 2019-02-13
1861972333 Brittany Carin Yu Pharmacist 2512 Tuscarawas St W, Canton, OH 44708-4702 2018-08-15
1598256364 Austin Tull Pharmacist 2260 Holly Springs Pkwy Ste 180, Canton, GA 30115-9580 2018-05-28
1891233060 John Todd Barrett Pharmacist 152 Watford Park Way Dr Ste 202, Canton, MS 39046-7900 2017-02-07
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 48188

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Dataset Information

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.

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