Westside Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301005171 Issued in MI

Legal business name

WESTSIDE PHARMACY, INC

Practice address

632 N Dibble BVD
Lansing, MI 48917

Phone

(517) 323-2382

Fax

(517) 323-0459

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gregory S Bovee, RPH

Title

President/Treasurer

Phone

(517) 323-2382

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346242666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 N DIBBLE BVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "517-323-2382",
            "fax_number": "517-323-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 N DIBBLE BVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "517-323-2382",
            "fax_number": "517-323-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOVEE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "517-323-2382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301005171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2317849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayla Honey Monet West
• Jessica S West
• Michael West
• Sarah Elizabeth Westcot, MA, LLP
• Jennifer Yirsa Weston, PA
• Chelsey Whalen
• Carolyn M Whatley, MD
• Craig A Wheeler, MD
• Eileen Karen Wheeler, DO
• Shannon Wheeler, NP

• Pharmacy in Lansing, MI
• Providers in Lansing, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.