AMBER LANAE SMITH (NPI# 1972902443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972902443 |
| Entity Type | Individual |
| Full Name | AMBER LANAE SMITH |
| Credential | PHARMD |
| Practice Address |
259 Mack Ave Detroit MI 48201-2427 |
| Mailing Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Practice Telephone | 3139163494 |
| Mailing Telephone | 3139163494 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202210671 | VA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302042400 | MI | Pharmacy Service Providers |
| Street Address |
259 MACK AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073715397 | Kenyetta Nicole Nesbitt | Pharmacist | 259 Mack Ave, Eacphs Suite 2190, Detroit, MI 48201-2427 | 2007-05-31 |
| 1124642657 | Brenna Claire Stesney | Physician Assistant | 259 Mack Ave, Detroit, MI 48201-2427 | 2020-06-01 |
| 1679195176 | Shane Michael Dignan | Physician Assistant | 259 Mack Ave, Detroit, MI 48201-2427 | 2020-05-07 |
| 1871144766 | Janelle Yousif | Physician Assistant | 259 Mack Ave, Detroit, MI 48201-2427 | 2019-09-23 |
| 1336701556 | Juela Kuci | Physician Assistant | 259 Mack Ave, Detroit, MI 48201-2427 | 2019-07-08 |
| 1538726419 | Craig Keinath | Physician Assistant | 259 Mack Ave, Detroit, MI 48201-2427 | 2019-05-25 |
| 1194382077 | Kirk Bennett | Physician Assistant | 259 Mack Ave, Detroit, MI 48201 | 2019-05-25 |
| 1659787182 | Kristina Nada Dabish | Physician Assistant | 259 Mack Ave, 2590, Detroit, MI 48201-2427 | 2014-07-03 |
| 1205180049 | Paul Evan Kilgore | Internal Medicine | 259 Mack Ave, Suite 2118, Detroit, MI 48201-2427 | 2012-11-01 |
| 1962777110 | Matthew Joseph Hynes | Veterinarian | 259 Mack Ave, Claws & Paws Clinic Wsu/dlar-wcccd/lvt, Detroit, MI 48201-2427 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| 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 |
|---|---|---|---|---|
| 1265099600 | Isidro II Inc | Pharmacist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-05-21 |
| 1639637135 | Bassam Harati | Pharmacist | 14470 Livernois Ave, Detroit, MI 48238-2005 | 2019-03-04 |
| 1336626654 | Kyle Weslosky | Pharmacist | 4646 John R Road, Detroit, MI 48201 | 2018-07-20 |
| 1174009872 | Lauren Depietro | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2018-07-16 |
| 1346619772 | Kelly Saha | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2015-09-16 |
| 1477938538 | Ryan Timothy Kuhn | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2015-07-29 |
| 1023417490 | John Dilodovico | Pharmacist | 2799 W Grand Blvd, W-1018, Detroit, MI 48202-2608 | 2014-08-21 |
| 1447688155 | Arin Jantz | Pharmacist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-10-16 |
| 1104252659 | Trisann Rendulic | Pharmacist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-09-16 |
| 1477994192 | Carrie Stuart Molesa | Pharmacist | 3990 John R St, Huh - Dept of Pharmacy Services, Detroit, MI 48201-2018 | 2013-07-10 |
| 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.