Cancer & Hematology Centers of Western Mi, P.C.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008064 Issued in MI

Legal business name

CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.

Doing business as

The Cancer & Hematology Centers

Practice address

710 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2379

Phone

(616) 977-4861

Fax

(616) 389-0977

NPI assigned

Apr 16, 2007

Last updated

Sep 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Melgarejo, PHARMD

Title

Pharmacist/Director

Phone

(616) 977-4850

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Cancer & Hematology Centers Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1225253974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462379",
            "telephone_number": "616-389-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462379",
            "telephone_number": "616-977-4861",
            "fax_number": "616-389-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "MELGAREJO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PHARMACIST/DIRECTOR",
        "authorized_official_telephone_number": "616-977-4850",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225253974",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cancer & Hematology Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camille Dana Campion, MD
• Jennifer Joy Campisi, MPT
• Katherine Berenice Campoverde Arevalo
• Angelica Rose Canales
• Victoria Canales
• Cancer & Hematology Centers of Western Mi, P.C.
• Cancer & Hematology Centers of Western Mi, P.C. (Rheumatology Centers of Western Michigan)
• Cancer & Hematology Centers of Western Mi, P.C.
• Cancer & Hematology Centers of Western Mi, P.C. (Cancer & Hematology Ctrs of Western MI)
• Cancer and Hematology Centers of Western Mi, P.C. (Cancer & Hematology Ctrs of Western MI)

• Community/Retail Pharmacy in Grand Rapids, MI
• Providers in Grand Rapids, 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 Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.