JESSICA MALE (NPI# 1689943359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689943359 |
| Entity Type | Individual |
| Full Name | JESSICA MALE |
| Credential | PHARM.D. |
| Practice Address |
6223 W Jefferson Ave Detroit MI 48209 |
| Mailing Address |
6331 E Jefferson Ave Detroit MI 48207-4317 |
| Practice Telephone | 9063465543 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2013-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302037247 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NPI | 1689943359 | 01 |
| Street Address |
6223 W JEFFERSON AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
| 1598211583 | Elizabeth Lopez-riachi | Technician, Other | 1551 Cavaqlry St., Detroit, MI 48209 | 2016-08-30 |
| 1205210333 | Yamirka Torres | Behavioral Analyst | 1551 Cavalry St, Detroit, MI 48209 | 2015-07-18 |
| 1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
| 1891980330 | Emery K Toth | Dentist | 8028 W Vernor Hwy, Detroit, MI 48209 | 2007-09-07 |
| 1225131881 | Eva A Karmo | Dentist | 4607 W. Vernor Hwy, Detroit, MI 48209 | 2006-09-07 |
| 1023123858 | Wanda E Velez Ruiz | Internal Medicine | 4115 W Vernor, Detroit, MI 48209 | 2006-08-20 |
| 1235142563 | Wendy Yousif Mckay | Family Medicine | 5831 W Vernor, Detroit, MI 48209 | 2006-08-15 |
| 1316950645 | Sahir H Cittan | Family Medicine | 5831 West Vernor, Detroit, MI 48209 | 2006-08-15 |
| 1154337749 | Michigan Health Center PC | Internal Medicine | 4808 W Vernor, Michigan Health Center, Detroit, MI 48209 | 2006-08-01 |
| Find all providers in zip 48209 | ||||
| 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 |
|---|---|---|---|---|
| 1366073926 | Peter Shaouni | Pharmacist | 15521 W 7 Mile Rd, Detroit, MI 48235-2927 | 2020-01-31 |
| 1598396285 | Mehak Siddiqui | Pharmacist | 200 Renaissance Ctr, Detroit, MI 48243-1300 | 2020-01-31 |
| 1073143384 | Marco Santos | Pharmacist | 6862 Michigan Ave, Detroit, MI 48210-2868 | 2020-01-26 |
| 1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
| 1376025262 | Maeghan Hensler | Pharmacist | 7800 Outer Dr., Detroit, MI 48235 | 2018-09-06 |
| 1417445719 | Wagdi Abdulla | Pharmacist | 14424 Schaefer Hwy, Detroit, MI 48227-3668 | 2018-04-23 |
| 1528579331 | Mahmoud Srour | Pharmacist | 4100 Woodward Ave Ste Pharmacy, Detroit, MI 48201-2173 | 2017-10-19 |
| 1477073039 | Emalee M Osentoski | Pharmacist | 4100 John R St Ste Hp00sp, Detroit, MI 48201-2013 | 2017-06-26 |
| 1144755588 | Eric Foster | Pharmacist | 11574 Roxbury St, Detroit, MI 48224-1141 | 2017-04-24 |
| 1013440460 | Maqsood Ahmad | Pharmacist | 12170 Conant St Ste E, Detroit, MI 48212-4129 | 2017-04-04 |
| Find all providers in DETROIT | ||||
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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.