Active NPI
Brian James Matthew Steele, PHARM.D.
- Pharmacist
- Grand Rapids, MI
National Provider Identifier
1336424571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302032330
- Practice address
- 1601 Kalamazoo Ave SE
Grand Rapids, MI 49507-2115 - Phone
- (616) 247-5521
- Fax
- (616) 274-4604
- NPI assigned
- Oct 19, 2011
- Last updated
- Oct 19, 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 | 5302032330 | MI | Primary |
Addresses
Primary practice location
1601 Kalamazoo Ave SE
Grand Rapids, MI 49507-2115
Mailing address
1601 Kalamazoo Ave SE
Grand Rapids, MI 49507-2115
Phone (616) 247-5521
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302032330 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1336424571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 KALAMAZOO AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495072115",
"telephone_number": "616-247-5521",
"fax_number": "616-274-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 KALAMAZOO AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495072115",
"telephone_number": "616-247-5521",
"fax_number": "616-274-4604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "BRIAN",
"middle_name": "JAMES MATTHEW",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302032330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.