NOOR AL-JAZRAWY — NPI 1265911218 (Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in FENTON, MI)

CMS-1500 Box 24J / 33a • NPI

1265911218

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1835P0018X

Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Box 32 Service Location & ZIP+4

15100 SILVER PKWY, FENTON, MI, 48430-3449

✓ 9-Digit EDI 837 ZIP+4 (48430-3449)

Practice Phone & Referral Fax

(810) 208-2210

Fax: (810) 936-0135

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265911218 (NOOR AL-JAZRAWY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265911218` (NPI-1 Individual Practitioner)
Provider / Legal Name	NOOR AL-JAZRAWY
Plain-English Specialty	Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist NUCC Code: `1835P0018X` (Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	15100 SILVER PKWY, FENTON, MI, 48430-3449
Practice Telephone / Fax	Tel: (810) 208-2210 \| Fax: (810) 936-0135
Administrative Mailing Address	41148 CILANTRO DR, STERLING HEIGHTS, MI, 48314-4032
Enumeration & Last Sync	Enumerated: 2018-08-10 \| CMS Record Updated: 2026-09-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15100 SILVER PKWY, FENTON, MI, 48430-3449

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Plain-English Taxonomy & CMS Crosswalk (1835P0018X)

What Does Taxonomy Code 1835P0018X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P0018X translates to:
"Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NOOR AL-JAZRAWY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1835P0018X` — Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Plain English: Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	State: MI \| License: `5302043498` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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NOOR AL-JAZRAWY (NPI #1265911218)