Noor Al-Jazrawy

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

5302043498 Issued in MI

Practice address

15100 Silver Pkwy
Fenton, MI 48430-3449

Phone

(810) 208-2210

Fax

(810) 936-0135

NPI assigned

Aug 10, 2018

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04761

  • Community/Retail Pharmacy
  • Flint, MI
  • NPI 1487763967
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1265911218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41148 CILANTRO DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483144032",
            "telephone_number": "248-667-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 SILVER PKWY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303449",
            "telephone_number": "810-208-2210",
            "fax_number": "810-936-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-JAZRAWY",
        "first_name": "NOOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302043498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Medical House Calls, PLC
• Aflac
• Agius Psychological Services, LLC
• Johnathan Agius, LLP
• Bridget Rose Ahern, AGACNP-BC
• Nedil Aldarondo-Antonini, M.D.
• Dalia Ali Khan
• Lynn A Allard, R.N.
• Staci Lynn Allmand, LMSW
• Juan Alvarado, O.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fenton, MI
• Providers in Fenton, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.