Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952520462 Individual Practitioner Male Practitioner

Dr. Jonathan Victor Van Lare , PharmD

Pharmacist • Southfield, MI

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Van Lare, PharmD is a registered healthcare professional specializing in Pharmacist in Southfield, MI. Practice services are available at 22777 W 11 MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22777 W 11 Mile Rd

Southfield, MI 480342152

Telephone 2483589160
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Southfield, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
104 Specialists

Practicing in Southfield, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302035070

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Linda Mahome , PT

Physical Therapist

NPI 1043713647

Physical Therapist

Dr. Dina Ibrahim , MD

Family Medicine

NPI 1134412679

Doctor of Medicine (M.D.)

Dr. Farvah Fatima , MD

Family Medicine

NPI 1346583796

Doctor of Medicine (M.D.)

NPI 1477764272

Registered Pharmacist

Dr. Zakiya Stallings , DO

Internal Medicine

NPI 1508390576

Doctor of Osteopathic Medicine (D.O.)

Mariana Fraga

Behavior Analyst

NPI 1811376577

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 22777 W 11 MILE RD, SOUTHFIELD, MI 480342152 (Tel: 2483589160)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1393 MOY AVENUE, WINDSOR, ONTARIO N8X 4S5 (Tel: 5192530605)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN VAN LARE, PHARM. D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #5302035070 in MI)

🟢
Initial NPI Registration & Enumeration April 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952520462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1393 Moy Avenue

Windsor, ONTARIO N8X 4S5

Phone: 5192530605

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.