Cedar Springs Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CEDAR SPRINGS PHARMACY, LLC

Doing business as

Cedar Springs Pharmacy

Practice address

14111 White Creek Ave NE Ste 12
Cedar Springs, MI 49319-8170

Phone

(616) 439-2779

Fax

(616) 439-2552

NPI assigned

May 22, 2020

Last updated

May 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jodi Maki, R.PH., PHARM.D.NPI 1215160577

Title

Pharmacist/Owner

Phone

(616) 439-2779

Specialties & licenses 1

Addresses

Other names 1

• Cedar Springs Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Jodi Ranee Maki, R.PH., PHARM.D.

  • Pharmacist
  • Cedar Springs, MI
  • NPI 1215160577
  NPD Authorized official

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1154944320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 WHITE CREEK AVE NE STE 12",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14111 WHITE CREEK AVE NE STE 12",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198170",
            "telephone_number": "616-439-2779",
            "fax_number": "616-439-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR SPRINGS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "616-439-2779",
        "authorized_official_credential": "R.PH., PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cedar Care Center, Inc
• Cedar Rock Healing & Wellness, LLC
• Cedar Springs Dental PLLC
• Cedar Springs Eye Care Inc
• Cedar Springs Family Chiropractic Inc.
• Centria Healthcare
• Ling Lenia Chen
• Cherry Street Services Inc (Cedar Springs School Health Center)
• Cherry Street Services, Inc. (Cherry Health - Cedar Springs High School Health Center)
• Chloe Marie Coates

• Community/Retail Pharmacy in Cedar Springs, MI
• Providers in Cedar Springs, 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 May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.