Monroe Health Ventures, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301008257 Issued in MI

Legal business name

MONROE HEALTH VENTURES, INC

Doing business as

Mercy Memorial Westside Pharmacy

Practice address

100 Powell Dr Suite 1
Dundee, MI 48131

Phone

(734) 240-3333

Fax

(734) 240-3334

NPI assigned

Jun 10, 2006

Last updated

Aug 4, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY MEMORIAL HOSPITAL CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James P Jackel

Title

Vice President-Finance

Phone

(734) 240-4527

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mercy Memorial Westside Pharmacy Doing business as

Part of

Mercy Memorial Home HLT

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1023059920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48162",
            "telephone_number": "734-240-4520",
            "fax_number": "734-240-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 POWELL DR SUITE 1",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "48131",
            "telephone_number": "734-240-3333",
            "fax_number": "734-240-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE HEALTH VENTURES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY MEMORIAL HOSPITAL CORPORATION",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "JACKEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT-FINANCE",
        "authorized_official_telephone_number": "734-240-4527"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008257",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2367856",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Memorial Westside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Health - St Vincent Medical Center LLC (St. Vincent Specialty Outreach)
• Mercy Memorial Hospital Corporation
• Chiara Lee Messer, RN
• Zachary Michalkiewicz
• Michigan Urgent Care
• Jennifer M Monroe, COTA
• Tracy Rene Mueller, LPTA
• Myeyedr Optometry of Michigan, LLC (MyEyeDr.)
• Carolyn Jean Needham, FNP-C
• Lynne M Nidek, MS PT

• Pharmacy in Dundee, MI
• Providers in Dundee, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.