Jordan Kyle Seeger

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302413070 Issued in MI

Practice address

6840 Lake Michigan Dr
Allendale, MI 49401-8064

Phone

(616) 895-2200

Fax

(616) 895-2201

NPI assigned

Nov 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Allendale, MI
  • NPI 1447446711
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1164023990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 LAKE MICHIGAN DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018064",
            "telephone_number": "616-895-2200",
            "fax_number": "616-895-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 LAKE MICHIGAN DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018064",
            "telephone_number": "616-895-2200",
            "fax_number": "616-895-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEGER",
        "first_name": "JORDAN",
        "middle_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302413070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel C Schamber, DC
• Daniel Patrick Schroeder
• Douglas Schultz, DMD
• Schulz Family Chiropractic PLLC
• Aaron James Schulz, D.C.
• Sensory Source, LLC
• Keegan Douglas Shannon, PT, DPT
• Natalie Lorraine Siwula, PA
• Haley J Slagboom, DPT
• Jessi Smith

• Pharmacist in Allendale, MI
• Providers in Allendale, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.