Cedar Springs Pharmacy, LLC
Organization Active NPI Community/Retail Pharmacy · Cedar Springs, MI
NPI 1154944320 · NPPES record last updated May 22, 2020
Key facts
- NPI
- 1154944320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CEDAR SPRINGS PHARMACY, LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Jodi Maki, R.PH., PHARM.D.
- Title
- Pharmacist/Owner
- Phone
- (616) 439-2779
Practitioners 1
-
Jodi Ranee Maki, R.PH., PHARM.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200930002429 | MI | Part B Supplier - Pharmacy | 9638598279 | Practice locations: Cedar Springs, MI |
National Provider Directory
Locations
14111 White Creek Ave NE
Cedar Springs, MI 49319
Phone (616) 439-2779
14111 White Creek Ave NE
Ste 1
Cedar Springs, MI 49319
Phone (616) 439-2779
14111 White Creek Ave NE
Ste 12
Cedar Springs, MI 49319
Phone (616) 439-2779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
14111 White Creek Ave NE Ste 12
Cedar Springs, MI 49319-8170
Mailing address
14111 White Creek Ave NE Ste 12
Cedar Springs, MI 49319-8170
Other names
- Cedar Springs Pharmacy
Other providers in Cedar Springs, MI
- 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
- Cherry Street Services, Inc.
- Chloe Marie Coates
All providers in Cedar Springs, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.