WEST MICHIGAN CANCER CENTER (NPI# 1730506510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730506510 |
| Entity Type | Organization |
| Organization Name | WEST MICHIGAN CANCER CENTER |
| Other Organization Name | WEST MICHIGAN CANCER CENTER RETAIL PHARMACY |
| Practice Address |
200 N Park St Kalamazoo MI 49007-3731 |
| Practice Telephone | 2693848626 |
| Practice Fax Number | 2693737478 |
| Mailing Telephone | 2693848626 |
| Mailing Fax Number | 2693737478 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | JOSEPH MIRRO (CMO) |
| Authorized Official Telephone | 2693822500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010374 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1730506510 | 05 | |
| PK | 2144774 | 01 |
| Other Name | Type Code |
|---|---|
| West Michigan Cancer Center Retail Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477640720 | West Michigan Cancer Center | Nurse Practitioner | 200 N Park St, Kalamazoo, MI 49007-3731 | 2006-10-06 |
| 1588778484 | West Michigan Cancer Center | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2006-08-18 |
| 1447261730 | West Michigan Cancer Center | Obstetrics & Gynecology | 200 N Park St, Kalamazoo, MI 49007-3731 | 2006-08-11 |
| Street Address |
200 N PARK ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051200 | Joseph Mirro Jr. | Pediatrics | 200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 | 2005-05-24 |
| 1770105553 | Kathryn Barnett | Nurse Practitioner | 200 N Park St, Kalamazoo, MI 49007-3731 | 2020-05-14 |
| 1528618725 | Mallory Davis | Social Worker | 200 N Park St, Kalamazoo, MI 49007-3731 | 2019-09-19 |
| 1710498290 | Chelsea Ashcraft | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2017-10-24 |
| 1336650431 | Kaitlyn Mcgrail | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2017-10-16 |
| 1215394580 | Stephen Paul Rucker | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2016-01-18 |
| 1831566637 | Timothy Craig Nicaise Jr. | Nurse Practitioner | 200 N Park St, Kalamazoo, MI 49007-3731 | 2015-08-27 |
| 1841624483 | Michael Thomas Francisco | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2013-08-31 |
| 1730463597 | Julie Ann Digiovanni | Clinical Nurse Specialist | 200 N Park St, Kalamazoo, MI 49007-3731 | 2011-09-28 |
| 1023390507 | Tricia M Miedema | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2011-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| 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 |
|---|---|---|---|---|
| 1245622372 | Quantum Drugs Inc | Pharmacy | 1693 S Westnedge Ave, Kalamazoo, MI 49008-1928 | 2015-02-26 |
| 1720380140 | Vjk Corp | Pharmacy | 119 E Paterson St, Kalamazoo, MI 49007-2530 | 2010-11-18 |
| 1710135710 | Arcadia Pharmacy | Pharmacy | 615 E Crosstown Pkwy Ste 100, Kalamazoo, MI 49001-2501 | 2008-09-03 |
| 1952557621 | Family Health Center, Inc | Pharmacy | 2918 Portage St, Kalamazoo, MI 49001-3755 | 2008-08-14 |
| 1407981707 | Ask Your Pharmacist, Inc | Pharmacy | 605 S Burdick St, Kalamazoo, MI 49007-5220 | 2007-02-23 |
| 1760522676 | Western Michigan University | Pharmacy | North Gilkison Avenue, Kalamazoo, MI 49008-5445 | 2007-02-08 |
| 1144380387 | Hardings Pharmacy | Pharmacy | 2626 E Main St, Kalamazoo, MI 49048-2163 | 2006-12-11 |
| 1013012236 | Medicine Mart Inc. | Pharmacy | 5585 Gull Rd, Suite 120, Kalamazoo, MI 49048-6703 | 2006-09-13 |
| 1720595465 | Hardings Markets-west Inc | Pharmacy | 6430 Stadium Dr, Kalamazoo, MI 49009-2016 | 2018-01-03 |
| 1982012001 | Costco Wholesale Corporation | Pharmacy | 5100 Century Ave, Kalamazoo, MI 49006 | 2014-08-01 |
| Find all providers in KALAMAZOO | ||||
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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.