SUSAN MARIE VENDEMELIO (NPI# 1801311030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801311030 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE VENDEMELIO |
| Credential | PHARM D |
| Practice Address |
21230 Dequindre Rd Warren MI 48091-2279 |
| Mailing Address |
54653 Franklin Dr Shelby Township MI 48316-1622 |
| Practice Telephone | 5868802439 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302033038 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DO NOT HAVE NUMBERS | 123456 | 01 |
| Street Address |
21230 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402354 | Southeast Michigan Surgical Hospital, LLC | General Acute Care Hospital | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2005-07-28 |
| 1548895550 | Insight Urgent Care PC | Clinic/Center | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2020-03-10 |
| 1477049260 | Alexander Icardi | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-07-05 |
| 1487140521 | William Alexander Carter | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-07-02 |
| 1073008371 | Firras Garada | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-06-28 |
| 1801305198 | Tricia Ann Haener | Registered Nurse | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-09-29 |
| 1588180509 | Joshua Bennett | Dietitian, Registered | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-22 |
| 1629593868 | Patrick Brien Butters | Pharmacist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-09 |
| 1477074904 | Seyed Sadegh Arab | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-07-06 |
| 1457703597 | Ghassan Ateyah | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2016-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407494644 | Maria Burch | Pharmacist | 28250 Dequindre Rd, Warren, MI 48092-5604 | 2019-12-18 |
| 1952948796 | Sandeep Kumar Gade | Pharmacist | 31200 Schoenherr Rd, Warren, MI 48088-7048 | 2019-11-27 |
| 1487290557 | Gerald Karim Gappy | Pharmacist | 31200 Schoenherr Rd, Warren, MI 48088-7048 | 2019-11-22 |
| 1699311837 | Brinda Shah | Pharmacist | 28250 Dequindre Rd, Warren, MI 48092-5604 | 2019-11-22 |
| 1720557143 | Angela Helen Dimos | Pharmacist | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2018-11-14 |
| 1831664218 | Matthew Gatchel | Pharmacist | 627 Eastland Ave Se, Warren, OH 44484-4501 | 2018-10-11 |
| 1538659289 | Melissa Agonia | Pharmacist | 639 Metacom Ave, Warren, RI 02885 | 2018-05-17 |
| 1629593868 | Patrick Brien Butters | Pharmacist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163069 | Alaric Michael Nielson | Pharmacist | 158 Schoolcraft St, Lake Linden, MI 49945-1328 | 2020-10-26 |
| 1598380529 | Daniel Asare Offei | Pharmacist | 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 | 2020-06-16 |
| 1013540426 | Aiman Abueida | Pharmacist | 17000 Executive Plaza Dr Ste 201, Dearborn, MI 48126-2793 | 2020-02-14 |
| 1336770866 | Azadeh Ali Moghaddam | Pharmacist | 5951 Sunrise Dr, Ypsilanti, MI 48197-7498 | 2020-02-03 |
| 1811527104 | Bailey Elaine Johnson | Pharmacist | 626 W Front St, Traverse City, MI 49684-2210 | 2020-01-25 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1760020333 | Deborah Handrinos Njus | Pharmacist | 19028 Stonewater Blvd, Northville, MI 48168-8560 | 2019-12-14 |
| 1255978037 | Dana Trudell | Pharmacist | 829 W 4th St, Pinconning, MI 48650-8907 | 2019-11-29 |
| 1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
| 1467098533 | Thomas Aaron | Pharmacist | 4194 Glenbrook Ct, Sterling Heights, MI 48310-3378 | 2019-11-22 |
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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.