MUSTAFA TAHA ZIEDAN (NPI# 1790385177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790385177 |
| Entity Type | Individual |
| Full Name | MUSTAFA TAHA ZIEDAN |
| Credential | PHARMD |
| Practice Address |
5050 Troup Hwy Tyler TX 75707-1916 |
| Mailing Address |
7336 Hearthstone Ln Tyler TX 75703-7587 |
| Practice Telephone | 9035341122 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 64723 | TX | Pharmacy Service Providers |
| Street Address |
5050 TROUP HWY |
| City | TYLER |
| State | TX |
| Zip Code | 75707-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215954466 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 5050 Troup Hwy, Tyler, TX 75707-1916 | 2006-07-16 |
| 1811598584 | Preston Lee Frank | Pharmacist | 5050 Troup Hwy, Tyler, TX 75707-1916 | 2020-11-08 |
| 1275783185 | Charline L Camero | Optometrist | 5050 Troup Hwy, Suite A, Tyler, TX 75707-1916 | 2008-09-27 |
| 1790954261 | Apple Vision, P.a. | Optometrist | 5050 Troup Hwy, Suite A, Tyler, TX 75703 | 2008-02-28 |
| 1912004375 | Wal-mart Stores Texas, LLC | Technician/Technologist | 5050 Troup Hwy, Tyler, TX 75707-1916 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063916351 | Veronica Miller | Registered Nurse | 3928 Mobley Lane, Tyler, TX 75707 | 2018-03-21 |
| 1023548187 | Juan Fernando Melgoza Jr. | Specialist/Technologist | 13172 Tx-64, Tyler, TX 75707 | 2017-06-12 |
| 1396291969 | The Center At Grande, LLC | Skilled Nursing Facility | 3219 East Grande Blvd, Tyler, TX 75707 | 2016-09-01 |
| 1730432493 | Michelle Tucker | Clinic/Center | 5011 Troup Hwy Ste 100, Tyler, TX 75707 | 2012-10-18 |
| 1275724569 | Johnson Chiropractic Center | Chiropractor | 5400 University Blvd, 103, Tyler, TN 75707 | 2007-08-05 |
| 1104851096 | Raymond F Jordan | Family Medicine | 12295 Hwy. 64 E, Tyler, TX 75707 | 2006-07-11 |
| 1033514096 | David Comins Wheeler | Counselor | 5875 Grace Ave, Tyler, TX 75707-0006 | 2014-11-01 |
| 1497318968 | Haley Lynn Dominy | Licensed Vocational Nurse | 6028 Grace Ave, Tyler, TX 75707-0007 | 2019-04-19 |
| 1710947957 | Doug Hodde | Family Medicine | 3593 E Grande Blvd, Tyler, TX 75707-1400 | 2006-03-23 |
| 1851839120 | Trinity Clinic | Clinic/Center | 3593 E Grande Blvd, Tyler, TX 75707-1400 | 2017-02-07 |
| Find all providers in zip 75707 | ||||
| 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 |
|---|---|---|---|---|
| 1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| 1528669132 | Youness Ennouri | Pharmacist | 2025 Ssw Loop 323, Tyler, TX 75701-0763 | 2020-11-02 |
| 1194325415 | Rupal R Patel | Pharmacist | 3820 Tx 64, Tyler, TX 75704 | 2020-10-27 |
| 1528673597 | Holly Beth Lutmer | Pharmacist | 4901 Kinsey Dr Apt 1723, Tyler, TX 75703-3033 | 2020-09-15 |
| 1558976498 | Traci Carroll George | Pharmacist | 1600 W Sw Loop 323, Tyler, TX 75701-8532 | 2020-09-08 |
| 1538773213 | Zachary Thompson | Pharmacist | 19201 Oakbrook Rd, Tyler, TX 75703-8233 | 2020-09-01 |
| 1699392407 | Cathlyn Yu | Pharmacist | 13157 Hwy 271, Tyler, TX 75708-2453 | 2020-06-26 |
| 1245878826 | Kim Annette Parks | Pharmacist | 113 Nnw Loop 323, Tyler, TX 75702-8725 | 2019-12-14 |
| 1366003063 | Austin J Dowell | Pharmacist | 4290 Kinsey Dr Ste 100, Tyler, TX 75703-1022 | 2019-06-24 |
| Find all providers in TYLER | ||||
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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.