DR. ADAM ORION SHOUP (NPI# 1922585207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922585207 |
Entity Type | Individual |
Full Name | DR. ADAM ORION SHOUP |
Credential | PHARMD |
Practice Address |
33 S Pere Marquette Hwy Ludington MI 49431-2441 |
Practice Telephone | 2318455399 |
Mailing Telephone | 2318455399 |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 5302042734 | MI | Pharmacy Service Providers |
Street Address |
33 S PERE MARQUETTE HWY |
City | LUDINGTON |
State | MI |
Zip Code | 49431-2441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710992821 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 33 S Pere Marquette Hwy, Ludington, MI 49431-2441 | 2006-07-29 |
1326426131 | Kaylin Petzak | Pharmacist | 33 S Pere Marquette Hwy, Ludington, MI 49431-2441 | 2015-05-12 |
1205117579 | Krista Johnson | Pharmacist | 33 S Pere Marquette Hwy, Ludington, MI 49431-2441 | 2011-08-31 |
1235410523 | Patrick Edward Powers | Pharmacist | 33 S Pere Marquette Hwy, Ludington, MI 49431-2441 | 2011-08-31 |
1295016665 | Lauren Sterley | Pharmacist | 33 S Pere Marquette Hwy, Ludington, MI 49431-2441 | 2011-08-30 |
1528348174 | Gregory Daniel Stewart | Pharmacist | 33 S Pere Marquette Hwy, Ludington, MI 49431-2441 | 2011-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
Find all providers in zip 49431 |
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 |
---|---|---|---|---|
1164697058 | Mark Robert Johnson | Pharmacist | 936 E Ludington Ave, Ludington, MI 49431-2438 | 2008-04-23 |
1770761249 | John Michael Vengen | Pharmacist | 3004 Piney Ridge Rd, Ludington, MI 49431-9405 | 2008-02-06 |
1962627190 | Richard B Parliament | Pharmacist | 2742 S Tamarac Dr, Ludington, MI 49431-9474 | 2007-04-14 |
1174124366 | Kristen Marie Constable | Pharmacist | 4854 W Us Highway 10, Ludington, MI 49431-8703 | 2020-11-04 |
1083159206 | Elizabeth Marie Venchuk | Pharmacist | 4854 W Us Highway 10, Ludington, MI 49431-8703 | 2016-12-24 |
1780035204 | Frederick Brauneck | Pharmacist | 4854 W Us Highway 10, Ludington, MI 49431-8703 | 2016-06-27 |
1326426131 | Kaylin Petzak | Pharmacist | 33 S Pere Marquette Hwy, Ludington, MI 49431-2441 | 2015-05-12 |
1508276478 | Susan Knoll | Pharmacist | 3900 W Us Highway 10, Ludington, MI 49431-7612 | 2014-05-01 |
1316368020 | Patrick Pearson | Pharmacist | 3900 W Us Highway 10, Ludington, MI 49431-7612 | 2013-12-23 |
1205117579 | Krista Johnson | Pharmacist | 33 S Pere Marquette Hwy, Ludington, MI 49431-2441 | 2011-08-31 |
Find all providers in LUDINGTON |
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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.