Vineland Foodland Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009399 Issued in MI

Legal business name

VINELAND FOODLAND INC

Doing business as

Roger's Foodland

Practice address

4039 Hollywood Rd
Saint Joseph, MI 49085-9156

Phone

(269) 408-1348

Fax

(269) 408-1381

NPI assigned

Jun 17, 2010

Organization subpart

No

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

Authorized official

Name

Pam Seely

Title

Owner/Secretary

Phone

(269) 429-9661

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Roger's Foodland Doing business as

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1043531718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859156",
            "telephone_number": "269-408-1348",
            "fax_number": "269-408-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859156",
            "telephone_number": "269-408-1348",
            "fax_number": "269-408-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINELAND FOODLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "SEELY",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "269-429-9661"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009399",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126116",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043531718",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger's Foodland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geertje Willemijn Veldhuijzen, PHARM.D
• Sarah Naomi Ventimiglia
• Edwin Ruben Vergara-Mego, LPC
• Erin Michelle Verhage, RD, CNSC
• Taylor Anne Villani
• Collin James Vinson, MD
• Vision Center PC
• Visual Performance Center PLLC
• Jason Vo, DO
• Elizabeth Voet, SLP

• Community/Retail Pharmacy in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.