JEFF VANWORMER (NPI# 1629203278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629203278 |
| Entity Type | Individual |
| Full Name | JEFF VANWORMER |
| Credential | R. PH. |
| Practice Address |
412 N 5th St Roscommon MI 48653-9329 |
| Mailing Address |
412 N 5th St P.o. Box 547 Roscommon MI 48653-9329 |
| Practice Telephone | 9892755600 |
| Practice Fax Number | 9892754707 |
| Mailing Telephone | 9892755600 |
| Mailing Fax Number | 9892754707 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302029215 | MI | Pharmacy Service Providers |
| Street Address |
412 N 5TH ST |
| City | ROSCOMMON |
| State | MI |
| Zip Code | 48653-9329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417064650 | Pioneer Family Pharmacy Inc | Pharmacy | 412 N 5th St, Roscommon, MI 48653-9329 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588106892 | Amanda Howe | Dental Hygienist | 135 Lake Street, Roscommon, MI 48653 | 2016-11-17 |
| 1861949471 | Christopher Michels | Contractor | 403 Peach Rd, Roscommon, MI 48653 | 2016-09-01 |
| 1114317336 | Valerie Louise Doebler | Occupational Therapy Assistant | 4450 E. Michigan Hwy., Roscommon, MI 48653 | 2015-01-26 |
| 1063664019 | Douglas C Mackintosh | Physical Therapist | 4079 West Marl Lake Dr, Roscommon, MI 48653 | 2008-10-21 |
| 1235354382 | Kevin B Rucinski Dds PC | Dentist | 188 Pine Bluffs, Roscommon, MI 48653 | 2007-04-16 |
| 1902021355 | Higgins Township Roscommon County Mich | Ambulance | 700 South Fifth Street, Roscommon, MI 48653 | 2007-04-13 |
| 1922172493 | Steven Carl Haertel | Chiropractor | 406 N 5th St, Roscommon, MI 48653 | 2006-11-17 |
| 1881775351 | Township Board of South Branch | Ambulance | 5245 N M-18, Roscommon, MI 48653 | 2006-10-18 |
| 1083712798 | Karrie Tieppo Williams | Dentist | 100 Sherwood Dr., Roscommon, MI 48653 | 2006-09-20 |
| 1386674661 | Rebecca L Smith | Counselor | 299h W Sunset, Roscommon, MI 48653 | 2006-07-03 |
| Find all providers in zip 48653 | ||||
| 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 |
|---|---|---|---|---|
| 1851684005 | Terry Edward Elsholz | Pharmacist | 425 N 5th St, Roscommon, MI 48653-9329 | 2011-05-20 |
| 1619499290 | Isabel Virginia Begazo Nunez | Pharmacist | 425 N 5th St, Roscommon, MI 48653-9329 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477710 | Alix Sabbagh | Pharmacist | 154 River Ln, Dearborn, MI 48124-1047 | 2020-11-04 |
| 1659972867 | Bruce Alan Gilmore | Pharmacist | 5940 Augusta Ln, Grand Blanc, MI 48439-9473 | 2020-11-04 |
| 1437750551 | Anamiben R Patel | Pharmacist | 45555 Michigan Ave, Canton, MI 48188-2388 | 2020-11-04 |
| 1871194217 | Rajesh Koduru | Pharmacist | 27496 Pamplona Ln, Novi, MI 48374-4208 | 2020-11-03 |
| 1346841962 | Joy Emery | Pharmacist | 1770 N Alger Road, Alma, MI 48001 | 2020-11-02 |
| 1659972107 | Jane Gruenke | Pharmacist | N10305 Country Club Rd, Ironwood, MI 49938-9627 | 2020-11-02 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1811597602 | Rachel L Martin | Pharmacist | 600 N Center Ave, Gaylord, MI 49735-1506 | 2020-10-29 |
| 1760081467 | Sam Nasser | Pharmacist | 6610 Reuter St, Dearborn, MI 48126-1898 | 2020-10-22 |
| 1427656990 | Tejal Shah | Pharmacist | 1153 Pembroke Dr, Rochester Hills, MI 48307-5756 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.