Active NPI
Fanar W Jwaida, R. PH.
- Pharmacist
- Roseville, MI
National Provider Identifier
1093921686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302029065
- Practice address
- 20733 E 13 Mile Rd
Roseville, MI 48066-4503 - Phone
- (586) 415-4844
- Fax
- (586) 415-4855
- NPI assigned
- May 14, 2007
- Last updated
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302029065 | MI | Primary |
Addresses
Primary practice location
20733 E 13 Mile Rd
Roseville, MI 48066-4503
Mailing address
20733 E 13 Mile Rd
Roseville, MI 48066-4503
Phone (586) 415-4844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302029065 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central RX LLC | Current | Accepting new patients | |
| Roseville RX, Inc. | Past | Accepting new patients |
Locations
20733 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 415-4844
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1093921686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20733 E 13 MILE RD",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664503",
"telephone_number": "586-415-4844",
"fax_number": "586-415-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20733 E 13 MILE RD",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664503",
"telephone_number": "586-415-4844",
"fax_number": "586-415-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JWAIDA",
"first_name": "FANAR",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "R. PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302029065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.