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Deactivated NPI 1992025704 Deactivated / Inactive NPI Female Practitioner

Raeda R Bazzi

Pharmacist • Taylor, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Raeda Bazzi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2010
NPI Deactivation Date March 13, 2017
Total Practice Duration ~7 Years of Practice (2010 – 2017)

Professional Overview & Biography Verified Profile Summary

Raeda Bazzi was a registered Pharmacist practicing in Taylor, MI. Throughout an active medical career spanning 7 years, Raeda Bazzi provided care at the practice location at 21111 VAN BORN RD until profile deactivation on 2017-03-13.

Practice Location & Contact Primary Location

Practice Address

21111 Van Born Rd

Taylor, MI 481801339

Telephone 3132782380
Fax 3132788975
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Taylor, MI

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

Practicing in Taylor, 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 5302027085

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

1 Associated Practitioners
James Spotts

Pharmacist

NPI 1982039517

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 13, 2017

Record deactivated on March 13, 2017

NPI Profile Active June 03, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 03, 2010

Registered at 21111 VAN BORN RD, TAYLOR, MI 481801339 (Tel: 3132782380)

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Updated Business Mailing Address June 03, 2010

Registered at 400 WOODCREST DR, DEARBORN, MI 481241141 (Tel: 3133592883)

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Provider Name / Credentials Updated June 03, 2010

Recorded as RAEDA BAZZI

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2010

Pharmacist (License #5302027085 in MI)

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Initial NPI Registration & Enumeration June 03, 2010

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: 1992025704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2010
Last Update: June 03, 2010
Deactivation Date: March 13, 2017

Mailing Address

400 Woodcrest Dr

Dearborn, MI 481241141

Phone: 3133592883

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.