Mariam Raied Jabro, PHD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302414875 Issued in MI

Practice address

23391 Farmington Rd
Farmington, MI 48336-3103

Phone

(248) 442-3123

NPI assigned

Apr 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Mariam R Jabro Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Farmington, MI
  • NPI 1154433084
  NPD (past)

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1881447746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23391 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363103",
            "telephone_number": "248-474-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23391 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363103",
            "telephone_number": "248-442-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABRO",
        "first_name": "MARIAM",
        "middle_name": "RAIED",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAM",
            "last_name": "JABRO",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heather E Hickok, DC
• Mikki Robyn Hill, LMSW
• Gary J. Holland, D.C.
• Christopher John Hudenko
• Humanistic Care, LLC
• Tinisha Simone Jackson, LMT
• Jeffrey L. Zanetti DDS PC
• Jeffrey S. Leider, MD,PC
• Jill'S Genuine Care Pharmacy, LLC
• Takara Johnson

• Pharmacist in Farmington, MI
• Providers in Farmington, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.