Family Pharmacy-SW Campus

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008486 Issued in MI

Legal business name

FAMILY PHARMACY-SW CAMPUS

Doing business as

Mercy Health Pharmacy-Southwest
Trinity Health Pharmacy - Byron Center

Practice address

2373 64TH St SW
Ste 1100
Byron Center, MI 49315-7974

Phone

(616) 685-3950

Fax

(616) 249-0850

NPI assigned

Oct 7, 2006

Last updated

Sep 26, 2022By 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

Robert Casalou

Title

President/Ceo

Phone

(734) 712-3792

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 2

• MERCY HEALTH PHARMACY-SOUTHWEST Doing business as
• Trinity Health Pharmacy - Byron Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Trinity Health-Michigan

  dba Mercy Health Pharmacy Solutions

  • Community/Retail Pharmacy
  • Grand Rapids, MI
  • NPI 1700321551

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Marie Eardley, RPH

  • Pharmacist
  • Byron Center, MI
  • NPI 1346361540
  NPD (past)
• Brian James Mulder, RPH

  • Pharmacist
  • Byron Center, MI
  • NPI 1114047487
  NPD (past)
• David S Steinberger, M.D.

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1275501207
  NPD (past)

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1235226424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 64TH ST SW",
            "address_2": "STE 1100",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157974",
            "telephone_number": "616-685-3950",
            "fax_number": "616-249-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 64TH ST SW",
            "address_2": "STE 1100",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157974",
            "telephone_number": "616-685-3950",
            "fax_number": "616-249-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY-SW CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "CASALOU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "734-712-3792"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4110913",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042398",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235226424",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HEALTH PHARMACY-SOUTHWEST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERCY HEALTH PHARMACY-SOUTHWEST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Health Pharmacy - Byron Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith Hospice (Faith Hospice at Trillium Woods)
• Faith Hospice (Hospice of Holland Home and Faith Hospice at Trillium Woods)
• Joy Falbe, CNP
• Grant Fall
• Family Fare, LLC (Family Fare Pharmacy 119)
• Brittney Fetterman
• Laura Lynn Fischer, NP
• Stephanie Rose Fisher
• Patrick James Fitzgibbon, DO
• Paige Flickinger, OTR/L

• Community/Retail Pharmacy in Byron Center, MI
• Providers in Byron Center, 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 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.