MR. GARY ALAN VACHON (NPI# 1861729675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861729675 |
| Entity Type | Individual |
| Full Name | MR. GARY ALAN VACHON |
| Credential | R.PH., M.M. |
| Practice Address |
3876 E Paris Ave Se Suite 13 Grand Rapids MI 49512-3974 |
| Mailing Address |
1004 Alger St Se Grand Rapids MI 49507-3806 |
| Practice Telephone | 6167770340 |
| Practice Fax Number | 6168550937 |
| Mailing Telephone | 6164900111 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302025473 | MI | Pharmacy Service Providers |
| Street Address |
3876 E PARIS AVE SE SUITE 13 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-3974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548564404 | Brinn Renee Moody | Pharmacist | 3876 E Paris Ave Se, Suite 13, Grand Rapids, MI 49512-3974 | 2011-01-06 |
| 1285937052 | Nicholas Allen Moody | Pharmacist | 3876 E Paris Ave Se, Suite 13, Grand Rapids, MI 49512-3974 | 2010-12-16 |
| 1801199849 | Michelle Mahoney | Pharmacist | 3876 E Paris Ave Se, Suite 13, Grand Rapids, MI 49512-3974 | 2010-12-14 |
| 1306175468 | Michael Robert Deboer | Pharmacist | 3876 E Paris Ave Se, Suite 13, Grand Rapids, MI 49512-3974 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215053004 | Kimberly Kaye Daugherty | Pharmacist | 21 Michigan St Ne Ste 425, Grand Rapids, MI 49503-2530 | 2007-03-22 |
| 1851918551 | Lacy J Worden | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-29 |
| 1619446028 | Bradley James Buurma | Pharmacist | 1997 E Beltline Ave Ne, Grand Rapids, MI 49525-4545 | 2018-11-14 |
| 1407208374 | Christine Allison Stever | Pharmacist | 100 Michigan St Ne, Suite 1830, Grand Rapids, MI 49503-2560 | 2016-07-05 |
| 1215334859 | Donald Myers | Pharmacist | 1997 E Beltline Ave Ne, Grand Rapids, MI 49525-4545 | 2014-11-25 |
| 1306257050 | Arinzechukwu Nkemdirim Okere | Pharmacist | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2014-05-15 |
| 1285045294 | Hetal Patel | Pharmacist | 2425 Alpine Ave Nw, Grand Rapids, MI 49544-1956 | 2014-05-13 |
| 1871903120 | April D Fluit | Pharmacist | 315 Wilson Ave Nw, Grand Rapids, MI 49534-3554 | 2014-05-07 |
| 1013327469 | Bradley Tetlow | Pharmacist | 3757 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 | 2014-05-06 |
| 1033529771 | John Yonkers | Pharmacist | 3757 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 | 2014-05-03 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
Please comment or provide details below to improve the information on MR. GARY ALAN VACHON.
| 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.