YASSMEEN MARZUQ (NPI# 1740816354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740816354 |
| Entity Type | Individual |
| Full Name | YASSMEEN MARZUQ |
| Practice Address |
611 E Douglas Rd Ste 412 Mishawaka IN 46545-1468 |
| Mailing Address |
154 Chapel St Pembroke MA 02359-3814 |
| Practice Telephone | 5742377637 |
| Enumeration Date | 2020-03-14 |
| Last Update Date | 2020-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCI.0008507 | CT | Pharmacy Service Providers |
| Street Address |
611 E DOUGLAS RD STE 412 |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492968 | Molly Marie Corder | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 412, Mishawaka, IN 46545-1468 | 2020-03-18 |
| 1821624313 | Faria Asif Chaudhry | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 412, Mishawaka, IN 46545-1468 | 2020-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| 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 |
|---|---|---|---|---|
| 1558997809 | April Hana Park | Pharmacist | 5917 Shawnee Ct Apt 1a, Mishawaka, IN 46545-0926 | 2020-03-19 |
| 1770146243 | Katherine T Clark | Pharmacist | 60101 Bodnar Blvd Ste 100, Mishawaka, IN 46544-9328 | 2019-04-19 |
| 1104360957 | Josephine Adutwumwaa | Pharmacist | 4105 Parkwood Cir Apt 3b, Mishawaka, IN 46545-2658 | 2016-12-13 |
| 1265824460 | Mekdes Kebede | Pharmacist | 503 E 14th St, Mishawaka, IN 46544-5527 | 2015-02-24 |
| 1548694086 | Mayo Ho Lee | Pharmacist | 420 W Mckinley Ave, Mishawaka, IN 46545-5522 | 2013-08-31 |
| 1609208420 | Katie Lynn Vanbuskirk | Pharmacist | 3425 Bremen Hwy, Mishawaka, IN 46544-6511 | 2013-08-02 |
| 1033710389 | Stephanie H Mahler | Pharmacist | 316 Indian Ridge Blvd, Mishawaka, IN 46545-9034 | 2020-11-03 |
| 1326648932 | Kay Lynn Wood | Pharmacist | 316 Indian Ridge Blvd, Mishawaka, IN 46545-9034 | 2020-11-01 |
| 1891395042 | Victoria Kumfer | Pharmacist | 316 Indian Ridge Blvd, Mishawaka, IN 46545-9034 | 2020-10-27 |
| 1760093272 | Lauren Marie Johnson | Pharmacist | 420 W 4th St Ste 100, Mishawaka, IN 46544-1948 | 2020-08-10 |
| Find all providers in MISHAWAKA | ||||
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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.