MR. JONATHAN VICTOR VAN LARE (NPI# 1952520462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952520462 |
Entity Type | Individual |
Full Name | MR. JONATHAN VICTOR VAN LARE |
Credential | PHARM. D. |
Practice Address |
22777 W 11 Mile Rd Southfield MI 48034-2152 |
Mailing Address |
1393 Moy Avenue Windsor ONTARIO N8X 4S5 CA |
Practice Telephone | 2483589160 |
Mailing Telephone | 5192530605 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 5302035070 | MI | Pharmacy Service Providers |
Street Address |
22777 W 11 MILE RD |
City | SOUTHFIELD |
State | MI |
Zip Code | 48034-2152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356435754 | Henry Ford Health System | Pharmacy | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2006-10-03 |
1043713647 | Linda Jean Mahome | Physical Therapist | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2018-03-10 |
1043732068 | Brittany Michelle Schwanke | Behavioral Analyst | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2017-07-11 |
1033669122 | Jenny Wai-yin Lin | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2016-10-12 |
1326422908 | Marisa Elias | Pediatrics | 22777 W 11 Mile Rd, Southfield, MI 48033 | 2015-07-14 |
1811376577 | Mariana Fraga I | Behavioral Analyst | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2015-05-27 |
1013348051 | Hfhs Center for Autism and Developmental Disabilities | Clinic/Center | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2013-12-02 |
1134412679 | Dina Faig Ibrahim | Family Medicine | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2011-05-17 |
1477764272 | Horace Horn II | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48034-2152 | 2007-05-24 |
1831318849 | Meloneze Renee Blackman | Pharmacy Technician | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2007-04-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
Find all providers in zip 48034 |
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 |
---|---|---|---|---|
1366073363 | Menaka Ravi Chandra Reddy | Pharmacist | 23881 Greenfield Rd, Southfield, MI 48075-3122 | 2020-01-28 |
1013548114 | Dina Issa | Pharmacist | 26026 W 12 Mile Rd # Oad, Southfield, MI 48034-1783 | 2020-01-28 |
1285127290 | Hitesh P Upadhyay | Pharmacist | 23832 Southfield Rd Ste 2, Southfield, MI 48075-8001 | 2018-06-13 |
1558879064 | Mohamed Sohoubah | Pharmacist | 23815 Northwestern Hwy Ste 200, Southfield, MI 48075-7738 | 2018-01-18 |
1881061984 | Peter Ponomarev | Pharmacist | 15600 W 10 Mile Rd Unit 1b, Southfield, MI 48075-2148 | 2015-08-25 |
1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
1477828457 | Eric Jeffery Lee | Pharmacist | 22277 W 12 Mile Rd, Apt 29, Southfield, MI 48034-4621 | 2012-03-09 |
1619240504 | Erwin H Posner | Pharmacist | 28422 Tavistock Trl, Southfield, MI 48034-2019 | 2012-02-22 |
1013291970 | Boby Abraham | Pharmacist | 23111 Lahser Road, Walgreens, Southfield, MI 48034 | 2011-10-10 |
1053694521 | Donna K Spencer | Pharmacist | 26776 W 12 Mile Rd Ste 108, Southfield, MI 48034-7807 | 2011-09-21 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48034 |
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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.