KENTWOOD PHARMACY (NPI# 1841446192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841446192 |
| Entity Type | Organization |
| Organization Name | KENTWOOD PHARMACY |
| Other Organization Name | KENTWOOD PHARMACY |
| Practice Address |
257 W Wright Ave Shepherd MI 48883-2502 |
| Mailing Address |
2480 44th St Se Kentwood MI 49512-9090 |
| Practice Telephone | 6168279100 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2009-09-02 |
| Authorized Official Name | LINDA MALINOWSKI (CONTROLLER) |
| Authorized Official Telephone | 6168279100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
5301008951 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2372251 | 01 |
| Other Name | Type Code |
|---|---|
| Kentwood Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346419892 | Kentwood Pharmacy | Durable Medical Equipment & Medical Supplies | 2480 44th St Se, Kentwood, MI 49512-9090 | 2008-02-28 |
| 1558478610 | Kentwood Pharmacy | Pharmacist | 6680 Kalamazoo Ave Se, Grand Rapids, MI 49508-7030 | 2006-08-24 |
| 1760638019 | Kentwood Pharmacy | Pharmacy | 116 N Mill St, Saint Louis, MI 48880-1521 | 2008-08-18 |
| 1548426992 | Kentwood Pharmacy | Pharmacy | 328 W Superior St, Alma, MI 48801-1647 | 2008-08-05 |
| Street Address |
257 W WRIGHT AVE |
| City | SHEPHERD |
| State | MI |
| Zip Code | 48883-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497877 | Lippert Enterprises Inc | Pharmacist | 257 W Wright Ave, Evans Drug Store, Shepherd, MI 48883 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720253 | Sweetwater Medical Center | Clinic/Center | 322 E Wright Ave, Shepherd, MI 48883 | 2017-10-03 |
| 1952784845 | Aaron Campbell | Occupational Therapist | 6905 North County Line Road, Shepherd, MI 48883 | 2015-07-09 |
| 1144305673 | Charles G. Artinian Md Facc PC | Internal Medicine | 318 Wright Ave, Shepherd, MI 48883 | 2006-10-25 |
| 1427093673 | Sally L Beeson | Nurse Practitioner | 322 Wright Ave, Shepherd, MI 48883 | 2006-06-19 |
| 1235184037 | Shepherd Clinic Plc | Family Medicine | 217 W Wright Ave, Shepherd, MI 48883-2502 | 2006-05-23 |
| 1235181629 | Kurt C. Anderson | Emergency Medicine | 364 W Wright Ave, Shepherd, MI 48883-2502 | 2006-05-16 |
| 1396382271 | Midmichigan Medical Center - Gratiot | Clinic/Center | 364 W Wright Ave, Shepherd, MI 48883-2502 | 2019-12-10 |
| 1144633991 | Joanne Wallace | Registered Nurse | 121 Dearing Dr, Shepherd, MI 48883-8000 | 2014-06-10 |
| 1861857427 | Erica Lynn Oswald | Hearing Instrument Specialist | 8430 S Federal Rd, Shepherd, MI 48883-8014 | 2015-12-28 |
| 1023268422 | Onstott Chiropractic Pllc | Chiropractor | 175 E Wright Ave, Shepherd, MI 48883-8018 | 2008-09-23 |
| Find all providers in zip 48883 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1225688229 | Guardian Pharmacy of Grand Rapids, LLC | Pharmacy | 2930 29th St Se, Grand Rapids, MI 49512-1723 | 2019-09-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.