West Michigan Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010715 Issued in MI

Legal business name

WEST MICHIGAN PHARMACY LLC

Practice address

20095 Gilbert Rd
Big Rapids, MI 49307-2365

Phone

(231) 305-4095

Fax

(231) 305-4094

NPI assigned

Dec 30, 2014

Organization subpart

No

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

Authorized official

Name

Ashley Goote, PHARMD

Title

Phcy MGR,Pic,Ao

Phone

(231) 305-4095

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• West Michigan Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Girish Juneja, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Big Rapids, MI
  • NPI 1114904349
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Michigan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Alan Wecker, O.D.
• Ronald James Welch, ATC
• Suki Weller, MD
• West Michigan Heart
• West Michigan Heart
• West Michigan Surgery Center, LLC
• Ashley Lynn Wheeler, LLMSW, SSW
• Bethany A Wieber, BCBA
• Janet May Williams, RPH
• Jonathan Wendell Williams, MD

• Community/Retail Pharmacy in Big Rapids, MI
• Providers in Big Rapids, 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 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.