University of Michigan Health-West Outpatient Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

UNIVERSITY OF MICHIGAN HEALTH-WEST OUTPATIENT PHARMACY

Practice address

5900 Byron Center Ave SW Ste 101
Wyoming, MI 49519-9606

Phone

(616) 252-7979

Fax

(616) 252-7175

NPI assigned

Nov 6, 2024

Organization subpart

Yes

Parent organization

METROPOLITAN HOSPITALAs reported in NPPES

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

Authorized official

Name

Peter Joseph Haverkamp, R.PH.NPI 1073635710

Title

Director of Pharmacy Services

Phone

(616) 252-7216

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• University of Michigan Health-West Outpatient Pharmacy Doing business as

Part of

University of Michigan Health-West Outpatient Pharmacy

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter J Haverkamp, R.PH.

  • Pharmacist
  • Wyoming, MI
  • NPI 1073635710
  NPD Authorized official

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1174346233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW STE 101",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "616-252-7979",
            "fax_number": "616-252-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW STE 101",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "616-252-7979",
            "fax_number": "616-252-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MICHIGAN HEALTH-WEST OUTPATIENT PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPOLITAN HOSPITAL",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "HAVERKAMP",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "616-252-7216",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "5301013436",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICENSE",
            "identifier": "5315251883",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Michigan Health-West Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hillary Uldricks, LMSW
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• Kaitlyn Uquillas
• Monica Kay Urbanowski, DO
• Cynthia Ann Utic, NURSE PRACTITIONER
• Valarie James, LLC
• Valarie James,LLC

• Community/Retail Pharmacy in Wyoming, MI
• Providers in Wyoming, 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 Nov 6, 2024; 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.