Individual provider Active NPI

Elizabeth A McClure, PHARMD

  • Pharmacist
  • Grandville, MI
National Provider Identifier
1215221213
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302036376 Issued in MI
Practice address
3130 44TH St SW
Grandville, MI 49418-2567
Phone
(616) 222-7661
Fax
(616) 222-7661
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302036376 MI Primary

Addresses

Primary practice location

3130 44TH St SW
Grandville, MI 49418-2567

Mailing address

3130 44TH St SW
Grandville, MI 49418-2567
Phone (616) 222-7661

Other practice location 1

5057 Harvey St
T-2327
Norton Shores, MI 49444-9795
Phone (231) 798-7507

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302036376MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1215221213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182567",
            "telephone_number": "616-222-7661",
            "fax_number": "616-222-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182567",
            "telephone_number": "616-222-7661",
            "fax_number": "616-222-7661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5057 Harvey St",
            "address_2": "T-2327",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494449795",
            "country_code": "US",
            "telephone_number": "231-798-7507",
            "fax_number": "231-798-7507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.