MR. DWAYNE GLENN BLOEMERS (NPI# 1487723656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487723656 |
| Entity Type | Individual |
| Full Name | MR. DWAYNE GLENN BLOEMERS |
| Credential | RPH |
| Practice Address |
1125 Washington Grand Haven MI 49417 |
| Mailing Address |
13496 Redbird Ln Grand Haven MI 49417 |
| Practice Telephone | 6168424360 |
| Practice Fax Number | 6168429590 |
| Mailing Telephone | 6168463465 |
| Mailing Fax Number | 6168429590 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 53602020782 | MI | Pharmacy Service Providers |
| Street Address |
1125 WASHINGTON |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417 |
| 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 | 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 |
|---|---|---|---|---|
| 1801185129 | Korey S Kemp | Pharmacist | 12962 Woodrush Ct, Grand Haven, MI 49417-8318 | 2011-04-07 |
| 1154402196 | Kenneth Wayne Vis | Pharmacist | 1125 Washington Ave, Grand Haven, MI 49417-1625 | 2006-10-18 |
| 1154391670 | Thomas G Spoelman | Pharmacist | 1116 Robbins Rd, Grand Haven, MI 49417-2740 | 2006-01-26 |
| 1720070402 | Neal Miller | Pharmacist | 10856 Stump St, Grand Haven, MI 49417-9734 | 2005-08-18 |
| 1811597339 | Bethany Latham | Pharmacist | 14700 Us 31, Grand Haven, MI 49417-8390 | 2020-10-26 |
| 1477166403 | Abigail Galombeck | Pharmacist | 510 N Beacon Blvd, Grand Haven, MI 49417-1150 | 2020-08-28 |
| 1700408382 | Stephan Ivan Jurik | Pharmacist | 1045 Robbins Rd, Grand Haven, MI 49417-2646 | 2020-05-18 |
| 1326571712 | Susan Bowers | Pharmacist | 1445 Sheldon Rd, Suite 104, Grand Haven, MI 49417-2480 | 2017-04-04 |
| 1376916783 | Samantha Allore | Pharmacist | 510 N Beacon Blvd, Grand Haven, MI 49417-1150 | 2015-11-06 |
| 1821473455 | Austin Graham | Pharmacist | 15000 Us 31, Grand Haven, MI 49417-8881 | 2015-07-24 |
| Find all providers in GRAND HAVEN | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
Please comment or provide details below to improve the information on MR. DWAYNE GLENN BLOEMERS.
| 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.