IN HOME CARE PHARMACY (NPI# 1417943101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417943101 |
| Entity Type | Organization |
| Organization Name | IN HOME CARE PHARMACY |
| Practice Address |
1309 Sheldon Rd Grand Haven MI 49417-2404 |
| Practice Telephone | 6168475504 |
| Mailing Telephone | 6168475504 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NORA BOITEN (COO) |
| Authorized Official Telephone | 6168462015 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CARE NETWORK | P78204 | 01 |
| MI | 2778388 | 05 | |
| MI | BCBS-PROFESSIONAL | 540G00327 | 01 |
| MI | NABP | 2348488 | 01 |
| MI | 2734516 | 05 | |
| MI | CARE CHOICES | 107396 | 01 |
| Street Address |
1309 SHELDON RD |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921036 | Grand Haven Pathology, PC | Pathology | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2005-09-08 |
| 1184283624 | Josko Vukusic | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2019-06-09 |
| 1194381814 | Benjamin Esh-nauta | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2019-05-17 |
| 1265948400 | Rebecca Benjamin | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2017-12-26 |
| 1720484538 | Laura Buitenhuis | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2014-11-06 |
| 1679982029 | Angela Mitchell | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2014-08-11 |
| 1629484282 | Julie Shafer | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2014-07-03 |
| 1730593831 | Carrie Brondyke | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2014-06-17 |
| 1699103481 | Kelli Lynn Meyer | Dietitian, Registered | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2013-10-15 |
| 1902184666 | Karl John Lauterbach | Internal Medicine | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2011-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961763 | Dustyn Daniel Thoney | Pharmacy | 530 Harding Ave, Iron River, MI 49935-2265 | 2020-10-27 |
| 1497355697 | Katherine Jane Cybulski | Pharmacy | 1310 Waukazoo St, Hastings, MI 49058-9559 | 2020-10-27 |
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1770104192 | Hazelwood Pharmacy LLC | Pharmacy | 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 | 2020-04-27 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
| 1457996662 | Sunrise Pharmacy, LLC | Pharmacy | 989 University Dr Ste 104, Pontiac, MI 48342-1885 | 2019-11-12 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
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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.