Individual provider Active NPI

Mindy Lynn Vanvleet

  • Pharmacy Technician
  • Coldwater, MI
National Provider Identifier
1184103152
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5303001997 Issued in MI
Practice address
800 E Chicago St
Coldwater, MI 49036-2055
Phone
(517) 278-5897
Fax
(517) 278-3319
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5303001997 MI Primary

Addresses

Primary practice location

800 E Chicago St
Coldwater, MI 49036-2055

Mailing address

148 Church St
Coldwater, MI 49036-1756
Phone (517) 617-7883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5303001997MIMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1184103152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 CHURCH ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361756",
            "telephone_number": "517-617-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362055",
            "telephone_number": "517-278-5897",
            "fax_number": "517-278-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVLEET",
        "first_name": "MINDY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303001997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.