DR. JUDE BUSONG FONGUH (NPI# 1861805558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861805558 |
| Entity Type | Individual |
| Full Name | DR. JUDE BUSONG FONGUH |
| Credential | RPH |
| Practice Address |
312 S James St Grayling MI 49738-1818 |
| Practice Telephone | 9893481350 |
| Mailing Telephone | 9893481350 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302041289 | MI | Pharmacy Service Providers |
| Street Address |
312 S JAMES ST |
| City | GRAYLING |
| State | MI |
| Zip Code | 49738-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053554758 | Kelli Gail Gillispie | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2009-04-09 |
| 1003352923 | Marco Mares-saihua | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2017-01-17 |
| 1407207780 | Travis Alger | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2016-06-28 |
| 1861862492 | Eric Prosen Schacht | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2015-09-25 |
| 1750780607 | Rite Aid Pharmacy | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2014-08-16 |
| 1942592001 | Lisa Marie Burnette | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2011-05-09 |
| 1851681084 | Mark Richard Hansen | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2011-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1922543073 | Autumn Book | Assistant Behavior Analyst | 6720 Tomahawk Trl, Grayling, MI 49738 | 2016-12-28 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1629484290 | Northern Michigan Endocrine Pllc | Clinic/Center | 1200 West North Down River Rd, Suite B, Grayling, MI 49738 | 2014-07-03 |
| 1033533427 | Krista Mohr | Nurse Anesthetist, Certified Registered | 1100 East Michigan Ave, Mercy Hospital- Grayling, Grayling, MI 49738 | 2014-02-06 |
| 1295034296 | Tomlin Capps Rosi | Surgery | 1250 E. Michigan Ave, Suite D, Grayling, MI 49738 | 2011-03-17 |
| 1265754667 | Pamela Birtcher Fisher | Counselor | 204 Meadows Drive, Grayling, MI 49738 | 2010-02-26 |
| 1942478797 | Marilyn L Rosi | Nurse Practitioner | 1010 W. North Down River Road, Grayling, MI 49738 | 2008-02-14 |
| 1558557454 | Jeffrey K Chaulk Md PC | Optometrist | 1200 N Down River Rd, Grayling, MI 49738 | 2007-09-25 |
| 1528288784 | G.r.a.c.e. Center | Counselor | 6459 West M-72, Grayling, MI 49738 | 2007-04-27 |
| Find all providers in zip 49738 | ||||
| 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 |
|---|---|---|---|---|
| 1285148239 | Peggy Curriston | Pharmacist | 708 Ogemaw St, Grayling, MI 49738-1420 | 2017-11-29 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1053554758 | Kelli Gail Gillispie | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2009-04-09 |
| 1871536300 | Russell E Mancewicz | Pharmacist | 2045 S I 75 Business Loop, Grayling, MI 49738-2039 | 2006-06-13 |
| 1871547919 | Grayling Pharmacy Inc | Pharmacist | 208 E Michigan Ave, Grayling, MI 49738 | 2006-05-22 |
| 1003352923 | Marco Mares-saihua | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2017-01-17 |
| 1407207780 | Travis Alger | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2016-06-28 |
| 1861862492 | Eric Prosen Schacht | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2015-09-25 |
| 1750780607 | Rite Aid Pharmacy | Pharmacist | 312 S James St, Grayling, MI 49738-1818 | 2014-08-16 |
| 1194066068 | Michele Elizabeth Steffey | Pharmacist | 500 N James St, Grayling, MI 49738-1714 | 2013-03-02 |
| Find all providers in GRAYLING | ||||
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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.