MOHAMED TAHER ABBAS (NPI# 1649756594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649756594 |
| Entity Type | Individual |
| Full Name | MOHAMED TAHER ABBAS |
| Practice Address |
5100 28th St Se Grand Rapids MI 49512-2049 |
| Mailing Address |
2652 Evaline St Hamtramck MI 48212-3214 |
| Practice Telephone | 6162334428 |
| Mailing Telephone | 3134521217 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302042569 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811407141 | Mohamed Abbas | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2017-09-29 |
| Street Address |
5100 28TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922118546 | Costco Wholesale Corporation | Pharmacy | 5100 28th St Se, Grand Rapids, MI 49512 | 2006-08-30 |
| 1124577275 | Navjit Kaur | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2016-09-30 |
| 1932658515 | Eric Liu | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2016-09-24 |
| 1386027241 | Emily Renae Gillette | Optometrist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2015-07-09 |
| 1629463807 | Costco Wholesale Corporation | Hearing Aid Equipment | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2015-04-03 |
| 1417348541 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2015-02-11 |
| 1205237138 | Costco Warehouse | Clinic/Center | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2014-09-10 |
| 1053651646 | Amy Slywka | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2013-02-19 |
| 1700169620 | Stephanie Hamstra | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2011-09-27 |
| 1336422559 | Julie Morales | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2011-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| 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 |
|---|---|---|---|---|
| 1164031860 | Jerika Nguyen | Pharmacist | 525 Clancy Ave Ne Apt 120, Grand Rapids, MI 49503-1843 | 2020-07-28 |
| 1063045177 | Kristen Buthker | Pharmacist | 1021 Alpine Ave Nw, Grand Rapids, MI 49504-4139 | 2020-02-17 |
| 1124667258 | Grant Lawson Beach | Pharmacist | 201 Michigan St Nw Apt 910, Grand Rapids, MI 49503-2330 | 2020-01-07 |
| 1821562844 | Catherine Formalejo Padogdog | Pharmacist | 2051 Ridgecrest Rd Se Apt 7, Grand Rapids, MI 49546-4321 | 2019-01-12 |
| 1386151660 | Brett Donald Jenkins | Pharmacist | 3326 Weatherford Dr Nw Apt 3a, Grand Rapids, MI 49544-6966 | 2018-01-08 |
| 1326568296 | Sarah Ann Kauffman | Pharmacist | 360 Division Ave S Ste 1a, Grand Rapids, MI 49503-4501 | 2017-06-22 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1235585456 | Kirsten Hayes | Pharmacist | 510 College Ave Ne Apt 215, Grand Rapids, MI 49503-1770 | 2016-05-06 |
| 1740649201 | Robert Matthew Granett | Pharmacist | 200 Jefferson Ave Se # See, Grand Rapids, MI 49503-4502 | 2016-02-12 |
| 1386000420 | Samantha Shifman | Pharmacist | 555 7th St Nw, Apt. 208, Grand Rapids, MI 49504-5213 | 2016-01-05 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
Please comment or provide details below to improve the information on MOHAMED TAHER ABBAS.
| 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.