Scott Edward Sorensen, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302025308 Issued in MI

Practice address

1965 Baldwin St
Jenison, MI 49428-8915

Phone

(616) 457-9630

NPI assigned

Feb 20, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Family Fare, LLC

  • Community/Retail Pharmacy
  • Owosso, MI
  • NPI 1508001207
  NPD (past)
• Family Fare, LLC

  • Community/Retail Pharmacy
  • Jenison, MI
  • NPI 1669531661
  NPD (past)

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164497608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 HILLCREST AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042626",
            "telephone_number": "616-791-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288915",
            "telephone_number": "616-457-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302025308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracen Loraine Smit, LLPC
• Allen Ralph Smith, O.D.
• Heather Lyn-Nieboer Smith, ATC
• Logan Conrad Smith, DDS
• Natalie Smith
• Space for Change Therapeutic Services, LLC
• Megan Spangler
• Susan Spears, LMSW
• Spectrum Health Primary Care Partners
• Spectrum Health Primary Care Partners

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.