TRINITY HEALTH - MICHIGAN (NPI# 1700260916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700260916 |
| Entity Type | Organization |
| Organization Name | TRINITY HEALTH - MICHIGAN |
| Other Organization Name | MERCY HEALTH PHARMACY - ROCKFORD |
| Practice Address |
6050 Northland Dr Ne Suite 1107 Rockford MI 49341-9256 |
| Practice Telephone | 6166857990 |
| Practice Fax Number | 6166857998 |
| Mailing Telephone | 6166857990 |
| Mailing Fax Number | 6166857998 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2016-02-11 |
| Authorized Official Name | MR. TERRY KIRKPATRICK (DIR PHARMACY SERVICES) |
| Authorized Official Telephone | 6166856108 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTH - MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010706 | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| MERCY HEALTH PHARMACY - ROCKFORD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351657 | Trinity Health - Michigan | Pharmacy | 3925 32nd Ave Ste 200, Hudsonville, MI 49426-8460 | 2018-10-08 |
| 1881130714 | Trinity Health - Michigan | Pharmacy | 7575 Grand River Rd Rm 212, Brighton, MI 48114-9309 | 2017-01-17 |
| 1487965877 | Trinity Health - Michigan | Durable Medical Equipment & Medical Supplies | 5301 East Huron River Drive Suite 180, Ypsilanti, MI 48197 | 2010-06-30 |
| 1902002272 | Trinity Health - Michigan | Clinic/Center | 359 S Division Ave, Grand Rapids, MI 49503 | 2007-06-25 |
| 1023523065 | Trinity Health - Michigan | Clinic/Center | 775 S Main St, Chelsea, MI 48118-1383 | 2017-12-13 |
| 1245769744 | Trinity Health - Michigan | Clinic/Center | 475 S State St, Sparta, MI 49345-1549 | 2017-06-08 |
| 1700287448 | Trinity Health - Michigan | Clinic/Center | 781 36th St Se, Grand Rapids, MI 49548-2319 | 2014-09-12 |
| 1154584373 | Trinity Health - Michigan | Clinic/Center | 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 | 2008-07-08 |
| 1588736375 | Trinity Health - Michigan | Pharmacy | 5333 Mcauley Drive, Room 1010, Ypsilanti, MI 48197-1087 | 2006-11-15 |
| 1205908092 | Trinity Health - Michigan | Pharmacy | 620 Byron Rd, Howell, MI 48843-1002 | 2006-11-15 |
| Street Address |
6050 NORTHLAND DR NE SUITE 1107 |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-9256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881799492 | Rebecca Wolfe | Family Medicine | 6050 Northland Dr Ne, Ste 200, Rockford, MI 49341-9256 | 2006-09-14 |
| 1447810569 | Megan Amber Deboer | Nurse Practitioner | 6050 Northland Dr Ne, Rockford, MI 49341-9256 | 2019-06-20 |
| 1679934327 | Kathryn Szetela | Physical Therapist | 6050 Northland Dr Ne, Suite 210, Rockford, MI 49341-9256 | 2016-03-09 |
| 1306225651 | Jessica Benzer | Pharmacist | 6050 Northland Dr Ne, Suite 200, Rockford, MI 49341-9256 | 2015-05-20 |
| 1114315215 | Meaghan Hagerman | Physician Assistant | 6050 Northland Dr Ne, Rockford, MI 49341-9244 | 2014-12-26 |
| 1083014914 | Advantage Health Saint Mary's Medical Group | Clinic/Center | 6050 Northland Dr Ne, Rockford, MI 49341-9244 | 2014-08-28 |
| 1780093716 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 6050 Northland Dr Ne, Ste 100, Rockford, MI 49341-9244 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1144790791 | Javon Bea Hospital | Pharmacy | 8201 E Riverside Blvd Ste 1022, Rockford, IL 61114-2300 | 2018-11-27 |
| 1265929749 | Pointcore, Inc. | Pharmacy | 5666 E State St Ste 101, Rockford, IL 61108-2425 | 2018-04-19 |
| 1831558618 | Walgreen Co | Pharmacy | 1100 Broadway Ste 102, Rockford, IL 61104-1429 | 2016-02-22 |
| 1285025346 | Hodels-rubens Pharmacy | Pharmacy | 1029 S Main St, Rockford, IL 61101-1417 | 2015-02-11 |
| 1932116969 | Walgreen Co | Pharmacy | 2323 Charles St, Rockford, IL 61104-1550 | 2006-08-02 |
| 1699780841 | Walgreen Co | Pharmacy | 3803 Auburn St, Rockford, IL 61101-2501 | 2006-07-29 |
| 1235144403 | Walgreen Co | Pharmacy | 2525 S Alpine Rd, Rockford, IL 61108-7812 | 2006-07-29 |
| 1952344335 | Highland Park Cvs LLC | Pharmacy | 2454 S Alpine Rd, Rockford, IL 61108-7882 | 2006-06-14 |
| 1366483232 | Highland Park Cvs LLC | Pharmacy | 3134 11th St, Rockford, IL 61109-2273 | 2006-06-09 |
| 1548201411 | Highland Park Cvs LLC | Pharmacy | 3718 N Main St, Rockford, IL 61103-1612 | 2006-06-09 |
| Find all providers in ROCKFORD | ||||
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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.