ANDY KHOA DO (NPI# 1568588515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568588515 |
| Entity Type | Individual |
| Full Name | ANDY KHOA DO |
| Practice Address |
5995 Kalamazoo Ave Se Kentwood MI 49508-6464 |
| Mailing Address |
1456 Crystalline Dr Se Caledonia MI 49316-8902 |
| Practice Telephone | 6168279906 |
| Practice Fax Number | 6168271013 |
| Mailing Telephone | 6166569602 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302031881 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719020 | Andy Do | Optometrist | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2020-04-17 |
| Street Address |
5995 KALAMAZOO AVE SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-6464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578693594 | Amanda Lenore Bryant | Pharmacist | 5995 Kalamazoo Ave Se, Kentwood, MI 49508-6464 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811513633 | Erin Patricia Schroeder | Pharmacist | 3724 W Sugarberry Ct Se, Kentwood, MI 49512-9490 | 2020-06-17 |
| 1578082459 | Chepchumba C Kottutt | Pharmacist | 3301 Pine Meadow Dr Se, Kentwood, MI 49512-3092 | 2017-09-12 |
| 1396166914 | Hong Tran | Pharmacist | 6020 Kalamazoo Ave. Se, Kentwood, MI 49508 | 2013-12-27 |
| 1336577576 | Penny Scardulla | Pharmacist | 717 Ave. G, Kentwood, LA 70444 | 2013-10-25 |
| 1386915718 | Anthony Spitale | Pharmacist | 72247 Fedele Ln, Kentwood, LA 70444-7109 | 2012-01-17 |
| 1083981179 | Kristen Bergmankristenb | Pharmacist | 4425 44th St Se, Kentwood, MI 49512-4010 | 2011-11-17 |
| 1518242783 | Nichole Lynn Penny | Pharmacist | 1122 44th St Se, Kentwood, MI 49508-7506 | 2011-10-19 |
| 1164707022 | Thomas Lau | Pharmacist | 2927 Cabot Dr Se, Kentwood, MI 49512-8094 | 2011-10-11 |
| 1609156157 | Nikkia Monique Parks | Pharmacist | 1820 Sutherland Dr Se, Kentwood, MI 49508-4985 | 2011-08-27 |
| 1578693594 | Amanda Lenore Bryant | Pharmacist | 5995 Kalamazoo Ave Se, Kentwood, MI 49508-6464 | 2007-03-07 |
| Find all providers in KENTWOOD | ||||
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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.