Organization Active NPI

West Michigan Pharmacy LLC

Doing business as West Michigan Pharmacy

  • Community/Retail Pharmacy
  • Big Rapids, MI
National Provider Identifier
1104214014
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010715 Issued in MI
Legal business name
WEST MICHIGAN PHARMACY LLC
Doing business as
West Michigan Pharmacy
Practice address
20095 Gilbert Rd
Big Rapids, MI 49307-2365
Phone
(231) 305-4095
Fax
(231) 305-4094
NPI assigned
Dec 30, 2014
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Ashley Goote, PHARMDNPI 1881869212
Title
Phcy MGR,Pic,Ao
Phone
(231) 305-4095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301010715 MI Primary

Addresses

Primary practice location

20095 Gilbert Rd
Big Rapids, MI 49307-2365

Mailing address

20095 Gilbert Rd
Big Rapids, MI 49307-2365
Phone (231) 305-4095

Other names 1

  • West Michigan Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1104214014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20095 GILBERT RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072365",
            "telephone_number": "231-305-4095",
            "fax_number": "231-305-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20095 GILBERT RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072365",
            "telephone_number": "231-305-4095",
            "fax_number": "231-305-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "GOOTE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PHCY MGR,PIC,AO",
        "authorized_official_telephone_number": "231-305-4095",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Michigan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.