Amanda Fawaz, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302412012 Issued in MI

Practice address

1026 N Main St
Royal Oak, MI 48067-1317

Phone

(248) 546-4620

NPI assigned

Sep 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Royal Oak, MI
  • NPI 1003925553
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1780234179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 DAHLIA LN",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073306",
            "telephone_number": "248-935-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671317",
            "telephone_number": "248-546-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWAZ",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302412012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.fawaz@riteaid.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1026 N Main St",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480671317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seyedalireza Fatemi, MD
• Othman Mohamed Fathel
• Noha Fathy, M.D.
• Ayesha Fatima
• Derrik Faunt, DPT
• Gianna Fay
• Kevin M Feber, MD
• Alice Marie Fecko, MD
• Nicolas Fedirko, FNP-BC
• Maria Theresa Fedor, RPH

• Pharmacist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.