MRS. SUSAN FADLALLAH (NPI# 1811006794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811006794 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN FADLALLAH |
| Practice Address |
20526 Plymouth Rd Detroit MI 48228-1201 |
| Practice Telephone | 3138382555 |
| Practice Fax Number | 3138381320 |
| Mailing Telephone | 3138382555 |
| Mailing Fax Number | 3138381320 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 025932 | MI | Pharmacy Service Providers |
| Street Address |
20526 PLYMOUTH RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48228-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023594256 | Insaf Fadlallah | Pharmacist | 20526 Plymouth Rd, Detroit, MI 48228-1201 | 2018-07-11 |
| 1174838890 | Tete Oniang'o M.d. Pllc | General Practice | 20526 Plymouth Rd, Suite E, Detroit, MI 48228-1201 | 2010-08-18 |
| 1679746432 | George Saad Md PC | Family Medicine | 20526 Plymouth Rd, Detroit, MI 48228-1201 | 2008-04-11 |
| 1043482243 | Motor City Pharmacy Corp | Pharmacy | 20526 Plymouth Rd, Suite D, Detroit, MI 48228-1201 | 2008-03-27 |
| 1871628255 | Zicherman & Zicherman Dpm PC | Durable Medical Equipment & Medical Supplies | 20526 Plymouth Rd, Detroit, MI 48228 | 2007-02-23 |
| 1407957988 | Prince J Eubanks Md PC | Internal Medicine | 20526 Plymouth Rd, Detroit, MI 48228-1201 | 2006-09-26 |
| 1841391323 | Prince Jerome Eubanks | Internal Medicine | 20526 Plymouth Rd, Detroit, MI 48228-1201 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
| 1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
| 1043746548 | Am-pm Transportation Services LLC | Private Vehicle | 18640 Joy Road, Detroit, MI 48228 | 2017-05-04 |
| 1770023491 | Goodcompany Aop Inc | In Home Supportive Care | 8946 Prest St, Detroit, MI 48228 | 2017-02-28 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1790157774 | Shakail Bronta Hill | Adult Companion | 7729 Clayburn, Detroit, MI 48228 | 2015-10-29 |
| 1275904583 | Denarol Cunningham | Contractor | 7248 Vaughan, Detroit, MI 48228 | 2015-10-13 |
| 1023493210 | Larry Foster | Technician, Other | 9334 Memorial, Detroit, MI 48228 | 2015-07-29 |
| 1093126872 | Reza Hafezi | Chiropractor | 17600 W. Warren Ave., Detroit, MI 48228 | 2014-05-14 |
| Find all providers in zip 48228 | ||||
| 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.