Active NPI
West Michigan Pharmacy LLC
Doing business as West Michigan Pharmacy
- Community/Retail Pharmacy
- Big Rapids, MI
National Provider Identifier
1104214014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301010715
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Big Rapids, MI
- NPI 1881869212
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Big Rapids, MI
- NPI 1114904349
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.