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

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006326 Issued in MI

Legal business name

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

Doing business as

Cancer & Hematology Ctrs of Western MI

Practice address

145 Michigan Ave NE
Suite 3100
Grand Rapids, MI 49503

Phone

(616) 977-4840

Fax

(616) 885-1459

NPI assigned

Mar 27, 2007

Last updated

Mar 11, 2020By 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

• Cancer & Hematology Ctrs of Western MI Doing business as

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1235257387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MICHIGAN AVE NE",
            "address_2": "SUITE 3100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-977-4840",
            "fax_number": "616-885-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MICHIGAN AVE NE",
            "address_2": "SUITE 3100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-977-4840",
            "fax_number": "616-885-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "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": "5301006326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3113438",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer & Hematology Ctrs of Western MI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cancer & Hematology Centers of Western Mi, P.C. (The Cancer & Hematology Centers)
• 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)
• Riley Candela
• Candid Counseling PLLC
• Nicole Canella
• Nichole Elyse Canepa, MD
• Jacob Alan Canfield, D.C.

• 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 Mar 11, 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.