DR. MELISSA VANDENBERG


Address: 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606
Phone: 6162526868

DR. MELISSA VANDENBERG (NPI# 1093180465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093180465
Entity Type Individual
Full Name DR. MELISSA VANDENBERG
Credential PHARM.D.
Practice Address 5900 Byron Center Ave Sw
Wyoming
MI 49519-9606
Practice Telephone 6162526868
Mailing Telephone 6162526868
Enumeration Date 2015-12-09
Last Update Date 2015-12-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
5302034930 MI Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI NCPDP 2325062 01

Other Providers MELISSA VANDENBERG

NPI Name Taxonomy Address Enumeration
1386642148 Melissa Bearden Vandenberg Physician Assistant 1855 Springhill Ave, Mobile, AL 36607-2301 2005-07-14

Office Location

Street Address 5900 BYRON CENTER AVE SW
City WYOMING
State MI
Zip Code 49519-9606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760484869 Anita Irene Charochak Internal Medicine 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2005-06-02
1912504283 Jacalyn Kaiser Occupational Therapist 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2020-10-08
1659987196 David Paul Mandziara Specialist/Technologist, Other 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 2020-09-21
1265048847 Bella Baazov Occupational Therapist 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2020-09-19
1548889504 Maurice Anthony Marshall Student in an Organized Health Care Education/Training Program 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2020-04-10
1619596814 Tyler Ledy Student in an Organized Health Care Education/Training Program 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 2020-04-09
1427677475 James Darin Chessrown Student in an Organized Health Care Education/Training Program 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2020-04-09
1285263533 Matthew Michael Gibbs Student in an Organized Health Care Education/Training Program 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2020-04-07
1427687755 Molly Magen Student in an Organized Health Care Education/Training Program 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2020-04-07
1316576804 Lindsay Grace Schichtel Student in an Organized Health Care Education/Training Program 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2020-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609364009 Alexandra K Hylen Dentist 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 2018-05-01
1962925685 Nicole Lee Kolasa Rehabilitation Counselor 2038 Melvin St. Sw, Wyoming, MI 49519 2017-07-25
1720534472 Michael Ash Rehabilitation Practitioner 1870 36th Street, Wyoming, MI 49519 2016-08-31
1891248993 Kayleigh Saucier Family Medicine 5900 Byron Center Avenue Se, Wyoming, MI 49519 2016-07-26
1093112799 Wmro LLC Radiology 5950 Metro Way, Wyoming, MI 49519 2014-11-24
1033547658 Maranda Catherine Gary Nurse Practitioner 2122 Health Drive, Wyoming, MI 49519 2013-10-16
1144657800 Diana Ro Psychologist 4211 Parkway Place Sw, #100, Wyoming, MI 49519 2013-09-26
1386077873 Lindsey Elizabeth Chorney Nurse Practitioner 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 2013-08-20
1124377163 Vision and Sensory Center of Michigan LLC Optometrist 4467 Byron Center Ave., Wyoming, MI 49519 2012-09-06
1881940203 Judah Durable Medical Equipment & Medical Supplies 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 2012-08-03
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609407543 Debra M Lirones Pharmacist 2375 28th St Sw, Wyoming, MI 49519-2380 2020-01-29
1780191841 Casey Marie Kamps Pharmacist 5838 Metro Way Sw, Wyoming, MI 49519-9619 2018-01-10
1891160073 Breana Wygant Pharmacist 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 2015-12-14
1134407216 Laura Constance Schuster Pharmacist 5838 Metro Way Sw, 119q, Wyoming, MI 49519-9619 2011-07-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578163069 Alaric Michael Nielson Pharmacist 158 Schoolcraft St, Lake Linden, MI 49945-1328 2020-10-26
1598380529 Daniel Asare Offei Pharmacist 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 2020-06-16
1013540426 Aiman Abueida Pharmacist 17000 Executive Plaza Dr Ste 201, Dearborn, MI 48126-2793 2020-02-14
1336770866 Azadeh Ali Moghaddam Pharmacist 5951 Sunrise Dr, Ypsilanti, MI 48197-7498 2020-02-03
1811527104 Bailey Elaine Johnson Pharmacist 626 W Front St, Traverse City, MI 49684-2210 2020-01-25
1588202089 Kenneth Alexander Pharmacist 40339 Grand River Ave # 110, Novi, MI 48375 2019-12-15
1760020333 Deborah Handrinos Njus Pharmacist 19028 Stonewater Blvd, Northville, MI 48168-8560 2019-12-14
1255978037 Dana Trudell Pharmacist 829 W 4th St, Pinconning, MI 48650-8907 2019-11-29
1174169270 Debra Joyce Lammers Pharmacist 531 West Main Street, Milan, MI 48160 2019-11-23
1467098533 Thomas Aaron Pharmacist 4194 Glenbrook Ct, Sterling Heights, MI 48310-3378 2019-11-22
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Competitor

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City WYOMING
Zip Code 49519

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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