STATE OF MICHIGAN (NPI# 1093819229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093819229 |
Entity Type | Organization |
Organization Name | STATE OF MICHIGAN |
Other Organization Name | GRAND RAPIDS HOME FOR VETERANS |
Practice Address |
3000 Monroe Ave Ne Grand Rapids MI 49505-3313 |
Practice Telephone | 6163645355 |
Practice Fax Number | 6163645260 |
Mailing Telephone | 6163645355 |
Mailing Fax Number | 6163645260 |
Enumeration Date | 2006-09-08 |
Last Update Date | 2016-10-19 |
Authorized Official Name | MR. JOHN WILLIAM CARLSON JR. (DIRECTOR OF PHARMACY) |
Authorized Official Telephone | 6163645355 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
5301000666 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | PHARMACY ID NUMBER | 5301000666 | 01 |
MI | NABP NUMBER | 2353631 | 01 |
Other Name | Type Code |
---|---|
Grand Rapids Home for Veterans | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831739010 | State of Michigan | Rehabilitation Counselor | 201 N Washington Sq Fl 2, Lansing, MI 48933-1328 | 2020-01-15 |
1942254321 | State of Michigan | Pharmacy | 8303 Platt Rd, Saline, MI 48176-9773 | 2006-05-20 |
1366912669 | State of Michigan | Skilled Nursing Facility | 425 Fisher St, Marquette, MI 49855-4521 | 2018-11-29 |
1952704843 | State of Michigan | Pharmacy | 425 Fisher St, Marquette, MI 49855-4521 | 2014-10-06 |
1235208182 | State of Michigan | Pharmacy | 1400 W Pickard St, Mt Pleasant, MI 48858-1364 | 2006-11-07 |
1053480905 | State of Michigan | Pharmacy | 18471 Haggerty Rd, Northville, MI 48168-8513 | 2006-11-07 |
1194736587 | State of Michigan | Pharmacy | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 | 2006-08-10 |
1508883299 | State of Michigan | Pharmacy | 30901 Palmer Rd, Westland, MI 48186-5389 | 2006-07-17 |
1003859380 | State of Michigan | Pharmacy | 8303 Platt Rd, Saline, MI 48176-9773 | 2006-06-14 |
Street Address |
3000 MONROE AVE NE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49505-3313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710989298 | State of Michigan Office of Financial Management | Nursing Facility/Intermediate Care Facility | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3397 | 2005-08-15 |
1003462995 | Ashleigh Nicole Miling | Occupational Therapy Assistant | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2019-08-15 |
1245796739 | Takashi Okada | Occupational Therapist | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2019-02-20 |
1104319037 | Jill Emens | Occupational Therapist | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2018-06-14 |
1326530189 | Mandisa Grable | Occupational Therapist | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2018-06-06 |
1790277275 | Sharayu Bell | Physical Therapist | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2018-05-31 |
1437655313 | Jenny Eshleman-hall Gibb | Physical Therapist | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2018-04-01 |
1760999718 | Saadatu White | Occupational Therapist | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2017-12-29 |
1588170856 | Jessica Craft | Physical Therapist | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2017-12-21 |
1033624242 | Sunil Paingol | Speech-Language Pathologist | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 | 2017-12-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
Find all providers in zip 49505 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225688229 | Guardian Pharmacy of Grand Rapids, LLC | Pharmacy | 2930 29th St Se, Grand Rapids, MI 49512-1723 | 2019-09-12 |
1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
1093229361 | Horizon Pharmacy Ltc, LLC | Pharmacy | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2017-11-25 |
1083849640 | Pca-corrections LLC | Pharmacy | 4665 44th St Se Ste A1106, Grand Rapids, MI 49512-4052 | 2009-05-26 |
1437252475 | Tcpi Acquisition LLC | Pharmacy | 3650 Broadmoor Ave Se, Suite 108, Grand Rapids, MI 49512-3925 | 2006-09-06 |
1356981922 | Home Town Pharmacy Inc | Pharmacy | 4252 Kalamazoo Ave Se, Grand Rapids, MI 49508-3607 | 2020-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437772159 | Krx Medication Consultants | Pharmacy | 8266 Fernwood St, Augusta, MI 49012 | 2020-05-28 |
1235751306 | Ypsilanti Family Pharmacy, Inc. | Pharmacy | 2287 Ellsworth Rd Ste A, Ypsilanti, MI 48197-4805 | 2020-05-12 |
1366082935 | Home Town Pharmacy Inc | Pharmacy | 1114 W South Airport Rd, Traverse City, MI 49686-4739 | 2020-01-13 |
1619510328 | Great Lakes Pharmacies I Inc | Pharmacy | 6213 Chicago Rd Ste 200, Warren, MI 48092-1697 | 2019-10-25 |
1710520143 | H & L Drugs Inc | Pharmacy | 1455 S Lapeer Rd Ste 101, Lake Orion, MI 48360-1468 | 2019-10-17 |
1457905259 | Senior Care Rx LLC | Pharmacy | 24293 Telegraph Rd Ste 130, Southfield, MI 48033-7924 | 2019-07-30 |
1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
1457812117 | Pharmtek LLC | Pharmacy | 3307 Orchard Lake Rd, Keego Harbor, MI 48320-1308 | 2019-03-26 |
1801350772 | Prestige Specialty Pharmacy 2 | Pharmacy | 31700 Van Dyke Ave Ste B, Warren, MI 48093-7949 | 2019-01-24 |
1194296707 | Palmer Ltc Pharmacy LLC | Pharmacy | 4020 Venoy Rd Ste 900b, Wayne, MI 48184-4818 | 2018-12-07 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49505 |
Please comment or provide details below to improve the information on STATE OF MICHIGAN.
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.