Active NPI
William Paul Overkamp, RPH
- Pharmacist
- Allendale, MI
National Provider Identifier
1316222748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302022086
- Practice address
- 6370 Lake Michigan Dr
Allendale, MI 49401-8068 - Phone
- (616) 895-7331
- Fax
- (866) 365-7331
- NPI assigned
- Oct 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302022086 | MI | Primary |
Addresses
Primary practice location
6370 Lake Michigan Dr
Allendale, MI 49401-8068
Mailing address
15070 Bignell
Grand Haven, MI 49417
Phone (616) 450-6016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302022086 | Other | MI | PHARMACIST LICENSE NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302022086 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Fare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1316222748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15070 BIGNELL",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "49417",
"telephone_number": "616-450-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6370 LAKE MICHIGAN DR",
"city": "ALLENDALE",
"state": "MI",
"postal_code": "494018068",
"telephone_number": "616-895-7331",
"fax_number": "866-365-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERKAMP",
"first_name": "WILLIAM",
"middle_name": "PAUL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302022086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "5302022086",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allendale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.