DAVID JOSEPH REALY (NPI# 1871156646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871156646 |
| Entity Type | Individual |
| Full Name | DAVID JOSEPH REALY |
| Practice Address |
2900 N Saginaw St Flint MI 48505-4452 |
| Mailing Address |
225 E 5th St Ste 300 Flint MI 48502-1641 |
| Practice Telephone | 8107899141 |
| Mailing Telephone | 8104064941 |
| Mailing Fax Number | 8102347068 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302027489 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 5302027489 | 01 |
| Street Address |
2900 N SAGINAW ST |
| City | FLINT |
| State | MI |
| Zip Code | 48505-4452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745812 | Afroze Hai | Pediatrics | 2900 N Saginaw St, Flint, MI 48505-4452 | 2006-01-20 |
| 1407476542 | Raul Pariente | Student in an Organized Health Care Education/Training Program | 2900 N Saginaw St, Flint, MI 48505-4452 | 2020-04-18 |
| 1922566728 | Christopher Tanner | Nurse Practitioner | 2900 N Saginaw St, Flint, MI 48505-4452 | 2019-03-11 |
| 1649761065 | Mohamad Hassan Abdul Azim | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2018-05-21 |
| 1396240875 | Peter Azer | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2018-03-27 |
| 1699203216 | Samer Alhouri | Student in an Organized Health Care Education/Training Program | 2900 N Saginaw St, Flint, MI 48505-4452 | 2017-05-26 |
| 1164962015 | Anya Marie Harris | Dentist | 2900 N Saginaw St, Flint, MI 48505 | 2017-02-26 |
| 1952783441 | Michelle Cardinal Ranke | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2015-06-22 |
| 1740661503 | Jenna Rennells | Nurse Practitioner | 2900 N Saginaw St, Flint, MI 48505-4452 | 2015-06-17 |
| 1477964930 | Hanna Tesfaye | Family Medicine | 2900 N Saginaw St, Flint, MI 48505-4452 | 2014-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912402629 | New Seasons Adult Services, LLC | Clinic/Center | 1035 E. Carpenter Road, Flint, MI 48505 | 2018-03-26 |
| 1477060176 | Metro Housing Development Corporation | Home Health | 930 East Myrtle Ave, Flint, MI 48505 | 2018-01-03 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1265886048 | New Jerusalem Enterprise Inc | Custodial Care Facility | 1015 E. Carpenter Road, Flint, MI 48505 | 2016-04-19 |
| 1699185918 | Cynthia Bolden-howard | Pharmacist | 2900 N. Saginaw St, Flint, MI 48505 | 2014-05-08 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1043413206 | Debra Ann Fields-pettigrew | Social Worker | G2138 West Carpenter Rd, Flint, MI 48505 | 2007-06-06 |
| 1982001863 | Benjamin William Dempsey-klott | Nurse Practitioner | G2138 West Carpenter Rd, Flint, MI 48505 | 2014-11-20 |
| 1235643487 | Sandra Florida | Registered Nurse | 1057 E Coldwater Rd, Flint, MI 48505-1501 | 2017-11-27 |
| Find all providers in zip 48505 | ||||
| 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 |
|---|---|---|---|---|
| 1568080935 | Max Charron | Pharmacist | 5237 Roberts Dr, Flint, MI 48506-1553 | 2020-07-11 |
| 1639737125 | Rana Joubran | Pharmacist | 1260 Linden Rd, Flint, MI 48532-4853 | 2019-05-30 |
| 1598120248 | Michael Gaied | Pharmacist | 4373 Corunna Road, Flint, MI 48532 | 2015-12-23 |
| 1679981815 | John Alappatt | Pharmacist | 2838 E Court St, Flint, MI 48506-4015 | 2014-07-31 |
| 1699188698 | Chaya Seligson | Pharmacist | 5219 Corunna Rd, Flint, MI 48532-5600 | 2014-06-06 |
| 1699185918 | Cynthia Bolden-howard | Pharmacist | 2900 N. Saginaw St, Flint, MI 48505 | 2014-05-08 |
| 1114354545 | Tejashkumar M Patel | Pharmacist | 3521 Corunna Rd, Flint, MI 48503 | 2013-09-30 |
| 1699021899 | Bryan Houser | Pharmacist | 5441 N Belsay Rd, Flint, MI 48506-1251 | 2012-07-25 |
| 1194002204 | Todd Swenor | Pharmacist | 502 S. Ballenger Hwy, Walgreens, Flint, MI 48532 | 2011-11-03 |
| 1942583448 | Payal Vishnubhai Patel | Pharmacist | G-4010 Fenton Raod, Flint, MI 48507 | 2011-09-21 |
| Find all providers in FLINT | ||||
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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.