WEST MICHIGAN PHARMACY LLC (NPI# 1104214014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104214014 |
| Entity Type | Organization |
| Organization Name | WEST MICHIGAN PHARMACY LLC |
| Other Organization Name | WEST MICHIGAN PHARMACY |
| Practice Address |
20095 Gilbert Rd Big Rapids MI 49307-2365 |
| Practice Telephone | 2313054095 |
| Practice Fax Number | 2313054094 |
| Mailing Telephone | 2313054095 |
| Mailing Fax Number | 2313054094 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | ASHLEY GOOTE (PHCY MGR,PIC,AO) |
| Authorized Official Telephone | 2313054095 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010715 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2149514 | 01 |
| Other Name | Type Code |
|---|---|
| West Michigan Pharmacy | Doing Business As Name - Organization |
| Street Address |
20095 GILBERT RD |
| City | BIG RAPIDS |
| State | MI |
| Zip Code | 49307-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013994235 | Nicola C. Snyman | Physical Therapist | 20095 Gilbert Rd, Big Rapids, MI 49307-2339 | 2005-12-29 |
| 1902446230 | Patricia Bell | Nurse Practitioner | 20095 Gilbert Rd, Big Rapids, MI 49307-2365 | 2020-01-15 |
| 1295177996 | West Michigan Heart | Internal Medicine | 20095 Gilbert Rd, Big Rapids, MI 49307-2365 | 2013-07-23 |
| 1063744837 | Willem Bartholomeus Snyman | Physical Therapist | 20095 Gilbert Rd, Big Rapids, MI 49307-2365 | 2010-02-04 |
| 1881869212 | Ashley Ann Goote | Pharmacist | 20095 Gilbert Rd, Big Rapids, MI 49307-2365 | 2008-04-27 |
| 1366628893 | Ann R Yokiel | Physical Therapist | 20095 Gilbert Rd, Suite B, Big Rapids, MI 49307-2365 | 2008-01-15 |
| 1467580571 | Beth S Scsavnicki | Specialist/Technologist | 20095 Gilbert Rd, Big Rapids, MI 49307-2339 | 2007-03-01 |
| 1447366224 | West Michigan Surgery Center, LLC | Clinic/Center | 20095 Gilbert Rd, Suite A, Big Rapids, MI 49307-2339 | 2006-08-22 |
| 1992720684 | Neil Joseph Goodman | Family Medicine | 20095 Gilbert Rd, Big Rapids, MI 49307-2365 | 2006-07-13 |
| 1942244801 | Ruth M Wissink | Physical Therapist | 20095 Gilbert Rd, Big Rapids, MI 49307-2339 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467099150 | Jayne Ann Graham | Custodial Care Facility | 831 Rose Avenue, Big Rapids, MI 49307 | 2019-12-02 |
| 1457904369 | Shannon Lynn Barstow | Registered Nurse | 20661 Okemos Rd, Big Rapids, MI 49307 | 2019-07-19 |
| 1235637604 | Kendra Lee Dolorfino | Nurse Practitioner | 650 Linden St Ste 4, Big Rapids, MI 49307 | 2018-01-31 |
| 1326553959 | Hope Primary and Urgent Care of Big Rapids Pllc | Clinic/Center | 201 Linden Street, Big Rapids, MI 49307 | 2017-12-05 |
| 1740539824 | Brandee Lee Gard | Community Health Worker | 745 Water Tower Rd., Big Rapids, MI 49307 | 2012-09-05 |
| 1497071641 | Kathleen Johnson | Adult Companion | 208 Maple St., Apt. 208, Big Rapids, MI 49307 | 2010-04-13 |
| 1144466822 | Big Rapids Dental Health Care Associates, PC | Dentist | 201 S. Michigan Ave, Big Rapids, MI 49307 | 2008-12-30 |
| 1134379894 | Fred Rodriguez | Hearing Instrument Specialist | 13452 Northland Drive, Big Rapids, MI 49307 | 2008-09-30 |
| 1740447275 | Catholic Charities West Michig | Community/Behavioral Health | 212 1/2 Maple Street, Big Rapids, MI 49307 | 2008-05-21 |
| 1144353905 | Robert R Scharp Dds PC | Dentist | 126 Maple St, Big Rapids, MI 49307 | 2007-03-13 |
| Find all providers in zip 49307 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
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| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | BIG RAPIDS |
| Zip Code | 49307 |
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| 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.